Botsford General Hosptial

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

BOTSFORD GENERAL HOSPTIAL

Practice address

20317 Farmington Rd
Livonia, MI 48152-1411

Phone

(248) 615-0777

Fax

(248) 615-0779

NPI assigned

Jan 24, 2008

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

Lesley Willbrandt

Title

Director Shared Services

Phone

(947) 522-1911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Internal Medicine Assoc. (NP) Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Botsford General Hospital

  • Obstetrics & Gynecology Nurse Practitioner
  • Livonia, MI
  • NPI 1104144500

  O20050621000683

  Same enrollment
• Botsford General Hospital

  • General Practice Registered Nurse
  • Farmington, MI
  • NPI 1134557960

  O20050621000683

  Same enrollment
• Botsford General Hospital

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1538103395

  O20050621000683

  Same enrollment

Part of

ER Phys-Botsford Gen Ho

Practitioners 2

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

• Mary Lynne Barringer, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Dearborn, MI
  • NPI 1952647083
  NPD
• Kathryn Louise Smith, CNP

  • Adult Health Nurse Practitioner
  • Sterling Heights, MI
  • NPI 1467533786
  NPD

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1508043233",
    "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": "20317 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-615-0777",
            "fax_number": "248-615-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD GENERAL HOSPTIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
        "enumeration_date": "2008-01-24",
        "last_updated": "2019-08-21",
        "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": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "500H229060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Internal Medicine Assoc. (NP)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Internal Medicine Assoc. (NP)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Al'Tinezha Joynava Bost
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hosptial
• Botsford General Hosptial
• Botsford Kidney Center
• Linda J. Botu, COTA
• Leah Boucha
• Pam Seiler Bourdganis, LBSW, QIDP
• Khalil Bourji, M.D., PH.D.

• All providers in Livonia, MI
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.