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

Organization Obstetrics & Gynecology Physician · NPI 1942265236

Henry Ford Health Providence Hospital is an Obstetrics & Gynecology Physician in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
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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

Surgery Physician (primary) Taxonomy 208600000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Colon & Rectal Surgery Physician Taxonomy 208C00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1942265236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Henry Ford Providence Hospital; Ph General Surgery/Providence Hospital And Medical Centers Inc; Ph General Surgery/Providence Hospital And Medical Centers Inc
NPI enumeratedApril 19, 2006
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Southfield