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

Henry Ford Health Providence Hospital

Organization Internal Medicine Physician · NPI 1629033683

Henry Ford Health Providence Hospital is an Internal Medicine Physician in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3306
Fax: (248) 849-8504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Internal Medicine Physician Taxonomy 207R00000X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1629033683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Ph Cardiology Ii/Providence Hosptial And Medical Centers Inc; Ph Cardiology Ii/Providence Hosptial 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