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Botsford General Hospital

NPI 1235179664ActiveOrganization· Nurse Anesthetist, Certified Registered· Farmington Hills, MI

Nurse Anesthetist, Certified Registered in Farmington Hills, Michigan, registered in NPPES in June 2006, part of Botsford General Hospital. The authorized official on file is Lee Ann Odom, President Shared Services. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1235179664
StatusActive
Entity typeOrganization (subpart)
Parent organizationBotsford General Hospital
NPI issuedJun 7, 2006
Last updated in NPPESOct 18, 2021
Certified by providerOct 18, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

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