HENRY FORD HEALTH ST. JOHN HOSPITAL
NPI 1376820605
Otolaryngology in Saint Clair Shores, MI

Active since November 15, 2011
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610(586) 779-0031 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Sep 21, 2022, Apr 5, 2022 and 1 more (4 updates tracked since 2018).

About Henry Ford Health St. John Hospital NPPES

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

HENRY FORD HEALTH ST. JOHN HOSPITAL (NPI 1376820605), doing business as Henry Ford St. John Hospital, is a healthcare organization registered as an otolaryngology in Saint Clair Shores, Michigan and active in the NPI registry since November 2011. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1376820605
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameHENRY FORD HEALTH ST. JOHN HOSPITAL
Location Address21000 E 12 MILE RD STE 111Saint Clair Shores, MI 48081-1156
Mailing AddressPo Box 670884Detroit, MI 48267-0884
Fax(586) 779-0031
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateNovember 15, 2011
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1376820605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X
21000 E 12 MILE RD STE 111, Saint Clair Shores, MI 48081

Other Names 2

Doing Business AsHenry Ford St. John Hospital
Doing Business AsLakeshore Ent Center

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

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081

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 St. John Hospital's NPI number?

The NPI number for Henry Ford Health St. John Hospital is 1376820605. It was assigned to this organization in the NPPES registry on November 15, 2011. The provider is doing business as Henry Ford St. John Hospital and Lakeshore ENT Center.

Where is Henry Ford Health St. John Hospital located?

Henry Ford Health St. John Hospital is located at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Henry Ford Health St. John Hospital's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Henry Ford Health St. John 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 St. John 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 St. John Hospital was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.