Organization
HENRY FORD SEMI MEDICAL GROUP
Active
Other names
HENRY FORD SEMI MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY CEBALT (DIRECTOR OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
28000 DEQUINDRE ROAD, REVENUE CYCLE DEPARTMETN, WARREN, MI 48092
(248) 680-8000
(248) 292-3852
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E012300
BCBSM GROUP NUMBER
MI
01
—
CB2735
RAILROAD MEDICARE GROUP NUMBER
MI
01
—
CG3113
RAILROAD MEDICARE GROUP NUMBER
MI
01
—
CG4683
RAILROAD MEDICARE GROUP NUMBER
MI
Enumeration date
08/25/2006
Last updated
04/28/2026
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