Active NPI
Botsford General Hospital
- Infectious Disease Physician
- Farmington Hills, MI
National Provider Identifier
1467494138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- BOTSFORD GENERAL HOSPITAL
- Practice address
- 28080 Grand River Ave
Suite 306
Farmington Hills, MI 48336-5966 - Phone
- (947) 521-8314
- NPI assigned
- Jun 10, 2006
- Organization subpart
- Yes
- Parent organization
- BOTSFORD GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley Willbrandt
- Title
- Director Shared Services
- Phone
- (947) 522-1911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
28080 Grand River Ave
Suite 306
Farmington Hills, MI 48336-5966
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2869043 | Medicaid | MI | |
| 440F370180 | Other | MI | BLUE CROSS |
Other names 1
- Infectious Disease
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0890989 | Corewell Health Infectious Disease - | Certificate of waiver | Aug 29, 2026 |
National Provider Directory
National Provider Directory- Part of
- ER Phys-Botsford Gen Ho
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565913600000",
"number": "1467494138",
"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": "28080 GRAND RIVER AVE",
"address_2": "SUITE 306",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365966",
"telephone_number": "947-521-8314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTSFORD GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
"enumeration_date": "2006-06-10",
"last_updated": "2019-08-16",
"status": "A",
"authorized_official_last_name": "WILLBRANDT",
"authorized_official_first_name": "LESLEY",
"authorized_official_title_or_position": "DIRECTOR SHARED SERVICES",
"authorized_official_telephone_number": "947-522-1911"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2869043",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "440F370180",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Infectious Disease",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Infectious Disease",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.