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

Henry Ford Health St John Hospital

Organization Emergency Medicine Physician · NPI 1285893727

Henry Ford Health St John Hospital is an Emergency Medicine Physician in Detroit, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
10

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical & Laboratory Immunology (Internal Medicine) Physician Taxonomy 207RI0001X
Interventional Cardiology Physician Taxonomy 207RI0011X
Pulmonary Disease Physician Taxonomy 207RP1001X
Pediatrics Physician Taxonomy 208000000X
Pediatric Cardiology Physician Taxonomy 2080P0202X

Record details

NPI number1285893727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director Provider Affairs · (313) 874-6764
NPI enumeratedJune 9, 2008
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Detroit