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 Physician Assistant · NPI 1700831500

Henry Ford Health St John Hospital is a Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Phone: (248) 680-8000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Physician Assistant Taxonomy 363A00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X (MI)

Record details

NPI number1700831500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Cebalt — Manager Provider Affairs · (313) 874-6764
Other names St John Hospital Nurse Practitioner; St John Hospital Nurse Practitioner
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 670884, Detroit, MI 48267-0884

Other providers in Detroit