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

Henry Ford Health St John Hospital

Organization Family Medicine Physician · NPI 1457663197

Henry Ford Health St John Hospital is a Family Medicine Physician in Detroit, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
14
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Neurological Surgery Physician Taxonomy 207T00000X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Nuclear Radiology Physician Taxonomy 2085N0904X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Audiologist Taxonomy 231H00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1457663197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Director · (313) 874-6764
Other names Henry Ford St John Hospital; Medical Resources Group
NPI enumeratedJuly 10, 2010
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Detroit