BOTSFORD PEDIATRIC ASSOC (NP) – NPI #1417134149
Registered Nurse

BOTSFORD PEDIATRIC ASSOC (NP) is a registered nurse (RN) located in FARMINGTON, MI. NPPES has assigned the NPI number 1417134149 to BOTSFORD PEDIATRIC ASSOC (NP) on January 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOTSFORD PEDIATRIC ASSOC (NP)” is a dba name, the actual legal business name for this organization is BOTSFORD GENERAL HOSPITAL. The primary taxonomy selected by this provider is 163WP0200X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Pediatrics

The NPI profile was previously updated about 7 years ago on Aug 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOTSFORD PEDIATRIC ASSOC (NP) below.

NPI Profile for
BOTSFORD GENERAL HOSPITAL

NPI Number
1417134149
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOTSFORD GENERAL HOSPITAL
Doing Business As (dba): BOTSFORD PEDIATRIC ASSOC (NP)
Primary location
23133 ORCHARD LAKE RD
SUITE 100
FARMINGTON, MI 48336-3268
Phone: (248) 477-0100 Fax: (248) 477-6153
Mailing address
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3849
Phone: Fax:
Organization Subpart
Yes - BOTSFORD PEDIATRIC ASSOC (NP) is subpart of another organization.
Authorized Official
LESLEY WILLBRANDT
DIRECTOR SHARED SERVICES
Phone: (947) 522-1911
Updated
Identifiers

Identifiers for BOTSFORD PEDIATRIC ASSOC (NP)

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSMI500F335250
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0200X
- Registered Nurse / Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.