OrganizationActive
Botsford General Hospital
NPI 1013079573 · Neuromusculoskeletal Medicine & OMM Physician · Novi, MI
Provider details
- NPI number
- 1013079573
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nancy Susick, Chief Operating Officer(947) 522-3338
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
39750 Grand River Ave
Attn Omm Clinic
Novi, MI 48375-2106
Phone: (248) 477-6100
Fax: (248) 473-8480
Street-level locationGet directions
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Other names (DBA / former)
- Doing business as
- Botsford Hospital Omm Tracc
- Doing business as
- Botsford Hospital Omm Tracc
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2023-05-16
- Certified
- 2023-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.