Active NPI
Henry Ford Physician Partners
- Surgery Physician
- Southfield, MI
National Provider Identifier
1386565646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HENRY FORD PHYSICIAN PARTNERS
- Practice address
- 22250 Providence Dr Ste 204
Southfield, MI 48075-6210 - Phone
- (248) 662-4333
- NPI assigned
- Jul 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Cebalt
- Title
- Director
- Phone
- (313) 874-6764
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Surgical Oncology Physician | 2086X0206X |
Addresses
Primary practice location
22250 Providence Dr Ste 204
Southfield, MI 48075-6210
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829
Other practice location 1
8235 Holly Rd Ste 1
Grand Blanc, MI 48439-2441
Phone (248) 662-4333
Other practice location 2
26850 Providence Pkwy Ste 504
Novi, MI 48374-1267
Phone (248) 662-4333
Other names 1
- HENRY FORD PHYSICIAN PARTNERS Great Lakes Office Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1386565646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670884",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670884",
"telephone_number": "800-999-5829",
"fax_number": "248-641-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 204",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756210",
"telephone_number": "248-662-4333"
}
],
"practiceLocations": [
{
"address_1": "8235 Holly Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484392441",
"country_code": "US",
"telephone_number": "248-662-4333",
"fax_number": "248-662-3022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26850 Providence Pkwy Ste 504",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483741267",
"country_code": "US",
"telephone_number": "248-662-4333",
"fax_number": "248-662-3022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HENRY FORD PHYSICIAN PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "CEBALT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "313-874-6764"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HENRY FORD PHYSICIAN PARTNERS Great Lakes Office Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.