OrganizationActive
Ascension Providence Hospital
NPI 1376508333 · Medical Physician Assistant · Southfield, MI
Provider details
- NPI number
- 1376508333
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sarah Starkel, Supervisor, Enrollment(248) 680-8206
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3000
Fax: (248) 849-2244
Approximate (ZIP-level) locationGet directions
Mailing address
2800 Livernois Rd
Troy, MI 48083-1215
Other names (DBA / former)
- Other name
- Ph Physicians Assistants/Providence Hospital and Medical Centers Inc
- Other name
- Ph Physicians Assistants/Providence Hospital and Medical Centers Inc
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.