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

Henry Ford Health Providence Hospital

Organization Pediatrics Physician · NPI 1265497226

Henry Ford Health Providence Hospital is a Pediatrics Physician 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