Organization
HENRY FORD HEALTH ST. JOHN HOSPITAL
Active
Other names
Henry Ford St. John Hospital, Lakeshore ENT Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
(586) 779-0031
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
MI
207Y00000X
Otolaryngology Physician
Primary
—
MI
207YP0228X
Pediatric Otolaryngology Physician
—
MI
207YS0123X
Facial Plastic Surgery Physician
—
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
MI
207YX0901X
Otology & Neurotology Physician
—
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
MI
Other
Enumeration date
11/15/2011
Last updated
05/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up