# HENRY FORD SEMI MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** HENRY FORD SEMI MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730117805
- **Authorized official:** KIMBERLY CEBALT (DIRECTOR OF PROVIDER AFFAIRS)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 28000 DEQUINDRE ROAD, REVENUE CYCLE DEPARTMENT, WARREN, MI 48092
- **Practice address phone:** (248) 680-8000
- **Practice address fax:** (248) 292-3852
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884
- **Mailing address phone:** (800) 999-5829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 08/10/2026