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

Henry Ford Health Providence Hospital

Organization Gastroenterology Physician · NPI 1548223787

Henry Ford Health Providence Hospital provides Gastroenterology 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

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1548223787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Ph Gastrology/Providence Hospital And Medical Centers Inc; Ph Gastrology/Providence Hospital And Medical Centers Inc
NPI enumeratedApril 10, 2006
Last updated in NPPESApril 12, 2026
Certification dateApril 12, 2026
Mailing address3168 Solutions Center Box 773168, Chicago, IL 60677-0001

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