Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension Providence Hospital

Organization Medical Physician Assistant · NPI 1376508333

Ascension Providence Hospital is a Medical Physician Assistant in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

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

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1376508333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Starkel — Supervisor, Enrollment · (248) 680-8206
Other names Ph Physicians Assistants/Providence Hospital And Medical Centers Inc; Ph Physicians Assistants/Providence Hospital And Medical Centers Inc
NPI enumeratedApril 20, 2006
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address2800 Livernois Rd, Suite 500, Troy, MI 48083-1215

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