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PH PHYSICIANS ASSISTANTS/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC
NPI 1376508333
Physician Assistant - Medical in Southfield, MI

Active since April 20, 2006CLIA 23D0902426 · Waiver
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3000(248) 849-2244 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ph Physicians Assistants/providence Hospital And Medical Centers Inc NPPES

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

PH PHYSICIANS ASSISTANTS/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC (NPI 1376508333) is a healthcare organization registered as a medical in Southfield, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Sarah Starkel, Supervisor, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1376508333
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameASCENSION PROVIDENCE HOSPITAL
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing Address2800 Livernois Rd, Suite 500Troy, MI 48083-1215 · (248) 680-8000 · Fax (248) 680-8032
Phone(248) 849-3000
Fax(248) 849-2244
Organization SubpartNo
Authorized OfficialSarah StarkelSupervisor, Enrollment · (248) 680-8206
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1376508333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
16001 W 9 MILE RD, Southfield, MI 48075
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Other Names 1

Other NamePh Physicians Assistants/providence Hospital And Medical Centers Inc

Other Identifiers 1

Other0N89760MI · Medicare Group Pin #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 23D0902426

Ascension Providence Hospital Southfield · Southfield, MI
Active · expires Mar 28, 2028
CLIA Number23D0902426
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorKatie Kwak
Laboratory Phone(248) 849-3281
Laboratory LocationAscension Providence Hospital Southfield22250 Providence Drive Suite 301, Southfield, MI 48075
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Pediatrics (Neonatal-Perinatal Medicine)
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

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 Ascension Providence Hospital's NPI number?

The NPI number for Ascension Providence Hospital is 1376508333. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is also known as Ph Physicians Assistants/Providence Hospital And Medical Centers Inc.

Where is Ascension Providence Hospital located?

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

What is Ascension Providence Hospital's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Ascension Providence Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0902426) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ascension Providence Hospital was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.