National Provider Identifier Database

ST JOHN PROVIDENCE HEALTH SYSTEM
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

ST JOHN PROVIDENCE HEALTH SYSTEM
16001 W 9 MILE RD
SOUTHFIELD, MI48075-4818
Phone: 248-849-3000
Fax: 248-849-2244
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Adult Health 363LA2200X
Diabetes Educator 163WD0400X
Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for ST JOHN PROVIDENCE HEALTH SYSTEM

NPI Number 1922063213
Legal business name
LBN
ST JOHN PROVIDENCE HEALTH SYSTEM
Authorized official KIMBERLY CEBALT - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/19/2006
Last updated 02/16/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 110F364771 MI BLUE CROSS GOUP PIN #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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