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 Anesthesiology Physician · NPI 1912962978

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

Licensed in
MI
In the registry since
2006
Specialties on file
8
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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3000
Fax: (248) 849-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (MI)
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X (MI)
Surgery Physician Taxonomy 208600000X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Taxonomy 2088F0040X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1912962978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Henry Ford Providence Hospital; Ph Obstetrics/Gynecology/Providence Hosptial And Medical Centers Inc; Ph Obstetrics/Gynecology/Providence Hosptial And Medical Centers Inc
NPI enumeratedApril 20, 2006
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Southfield