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HENRY FORD HEALTH PROVIDENCE HOSPITAL
NPI 1003871062
Pediatrics - Neonatal-Perinatal Medicine in Southfield, MI

Active since April 20, 2006CLIA 23D0035969 · Accreditation
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3000(248) 849-2244 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Nov 15, 2023, Dec 4, 2018 and 1 more (4 updates tracked since 2016).

About Henry Ford Health Providence Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY FORD HEALTH PROVIDENCE HOSPITAL (NPI 1003871062) is a healthcare organization registered as a neonatal-perinatal medicine in Southfield, Michigan and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1003871062
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameHENRY FORD HEALTH PROVIDENCE HOSPITAL
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing AddressPo Box 670884Detroit, MI 48267-0884
Phone(248) 849-3000
Fax(248) 849-2244
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateApril 20, 2006
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1003871062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

16001 W 9 MILE RD, Southfield, MI 48075
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Other Names 1

Other NamePh Neonatology/providence Hosptial And Medical Centers Inc

Other Identifiers 1

Other350F360230MI · Mi Blue Cross Group Pin #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0035969

Henry Ford Health Providence Hospital · Southfield, MI
Active · expires Feb 27, 2027
CLIA Number23D0035969
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorJuanita J. Evans
Laboratory Phone(313) 343-7191
Laboratory LocationHenry Ford Health Providence Hospital16001 West 9 Mile Road, Southfield, MI 48075
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN ARIE KROLL M.D.
Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
MARY LYNN MEISEL CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
MS. JESSICA L BEACOME ACNP
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Oakland County (248) 849-8716
TRACY CHASE GROVES CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
TERESEA ANN ZARZA NP
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-2528
DR. LINDSAY ANNE RICHMOND-PRUNEAU M.D.
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
NICOLE NOEL SILVESTRI NP
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
CYNTHIA ARCHER-GIFT RN, NP
Registered Nurse
16001 W 9 MILE RD, DEPT OF BEHAVORIAL MEDICINE
SOUTHFIELD, MI 48075
Oakland County (248) 849-3306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Ford Health Providence Hospital's NPI number?

The NPI number for Henry Ford Health Providence Hospital is 1003871062. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is also known as PH Neonatology/Providence Hosptial and Medical Centers Inc.

Where is Henry Ford Health Providence Hospital located?

Henry Ford Health Providence Hospital is located at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.

What is Henry Ford Health Providence Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Does Henry Ford Health Providence Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0035969) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Henry Ford Health Providence Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Henry Ford Health Providence Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henry Ford Health Providence Hospital was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.