Botsford General Hospital

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

BOTSFORD GENERAL HOSPITAL

Practice address

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Phone

(248) 471-8000

NPI assigned

Jun 21, 2006

Organization subpart

Yes

Parent organization

BOTSFORD GENERAL HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lee Ann Odom

Title

President Shared Services

Phone

(947) 522-3326

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Botsford Outreach Lab Other name

Part of

ER Phys-Botsford Gen Ho

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Botsford General Hospital

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1093828303

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudha Narang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Southfield, MI
  • NPI 1932108107
  NPD (past)
• Padmini Kepul Nayak, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Southfield, MI
  • NPI 1417956855
  NPD (past)
• Marin Marie Pell, CRNA

  • Certified Registered Nurse Anesthetist
  • Pontiac, MI
  • NPI 1679712699
  NPD (past)
• Christopher Schwimer, D.O.

  • Dermatopathology (Pathology) Physician
  • Bingham Farms, MI
  • NPI 1417918509
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1316983000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-471-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT SHARED SERVICES",
        "authorized_official_telephone_number": "947-522-3326"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00276",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170228",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "230151",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "230151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Botsford Outreach Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Botsford Outreach Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hospital

• Clinical Pathology Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.