# HENRY FORD HEALTH ST. JOHN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJH MultipSpecialty Group, Henry Ford St John Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912965088
- **Authorized official:** KIMBERLY CEBALT (DIRECTOR)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 22101 MOROSS RD, DETROIT, MI 48236-2148
- **Practice address phone:** (313) 343-4000
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MI | — |
| 207R00000X | Internal Medicine Physician | — | MI | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | MI | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | MI | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | MI | — |
| 208000000X | Pediatrics Physician | — | MI | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | MI | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | MI | — |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 08/12/2026