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

Henry Ford Health Providence Hospital

Organization Family Medicine Physician · NPI 1538123963

Henry Ford Health Providence Hospital provides Family Medicine 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 Physician Billing Services
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

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538123963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Henry Ford Providence Hospital; Ph Family Medicine/Providence Hosptial And Medical Centers Inc
NPI enumeratedApril 13, 2006
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Southfield