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

Henry Ford Health System

Organization Physician Assistant · NPI 1811073901

Henry Ford Health System 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
15
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 830190 (MI)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Neonatal Nurse Practitioner Taxonomy 363LN0000X
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X
Clinical Nurse Specialist Taxonomy 364S00000X

Record details

NPI number1811073901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Phillips — Provider Enrollment Specialist · (313) 874-2892
NPI enumeratedOctober 31, 2006
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

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