BOTSFORD GENERAL HOSPITAL – NPI #1003844614
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

BOTSFORD GENERAL HOSPITAL is a provider located in FARMINGTON HILLS, MI. NPPES has assigned the NPI number 1003844614 to BOTSFORD GENERAL HOSPITAL on June 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BOTSFORD GENERAL HOSPITAL is also known by the name BOTSFORD ONCOLOGY PRACTICE. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 7 years ago on Aug 21, 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 GENERAL HOSPITAL below.

NPI Profile for
BOTSFORD GENERAL HOSPITAL

NPI Number
1003844614
Enumeration Date

(about 20 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
Other Name: BOTSFORD ONCOLOGY PRACTICE
Primary location
28080 GRAND RIVER AVE
SUITE 306
FARMINGTON HILLS, MI 48336-5966
Phone: (248) 471-8182 Fax: (248) 478-7179
Mailing address
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3849
Phone: Fax:
Organization Subpart
No
Authorized Official
LESLEY WILLBRANDT
DIRECTOR SHARED SERVICES
Phone: (947) 522-1911
Updated
Identifiers

Identifiers for BOTSFORD GENERAL HOSPITAL

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
OTHERBLUE CROSSMI110Q246120
MEDICAIDMI2877555
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
207RH0003X
- Internal Medicine / Hematology & Oncology (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.