Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Henry Ford Health Providence Hospital

Organization Pediatrics Physician · NPI 1265497226

Henry Ford Health Providence Hospital provides Pediatrics Physician services in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3000
Fax: (248) 849-2244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1265497226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Henry Ford Providence Hospital; Ph Pediatrics/Providence Hospital And Medical Centers Inc
NPI enumeratedApril 20, 2006
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Southfield