Active NPI
Botsford General Hospital
- Physician Assistant
- Farmington Hills, MI
National Provider Identifier
1972054039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1060000070
- Legal business name
- BOTSFORD GENERAL HOSPITAL
- Practice address
- 28050 Grand River Ave
Farmington Hills, MI 48336-5919 - Phone
- (248) 471-8147
- NPI assigned
- Oct 24, 2016
- Organization subpart
- Yes
- Parent organization
- BOTSFORD PHYSICIAN ASSISTANTS
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1060000070 | MI | Primary |
Addresses
Primary practice location
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
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": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566345600000",
"number": "1972054039",
"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": "248-471-8147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTSFORD GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOTSFORD PHYSICIAN ASSISTANTS",
"enumeration_date": "2016-10-24",
"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": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MI",
"license": "1060000070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.