Physician Assistant
HENRY FORD HEALTH SYSTEM
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1811073901 · enumerated 2006-10-31 · record updated 2024-09-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SHANNON PHILLIPS, Provider Enrollment Specialist · (313) 874-2892
Addresses and phones
- Practice location 2799 W GRAND BLVD, DETROIT, MI, 48202-2608 (313) 916-2600 Google Maps Apple Maps OpenStreetMap
- Mailing address 2799 W GRAND BLVD, DETROIT, MI, 48202-2608 (313) 916-2600 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 830190 MI
- Physician Assistant 363A00000X
- Physician Assistant, Medical 363AM0700X
- Physician Assistant, Surgical 363AS0400X
- Nurse Practitioner, Acute Care 363LA2100X
- Nurse Practitioner, Adult Health 363LA2200X
- Nurse Practitioner, Critical Care Medicine 363LC0200X
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Gerontology 363LG0600X
- Nurse Practitioner, Neonatal 363LN0000X
- Nurse Practitioner, Neonatal, Critical Care 363LN0005X
- Nurse Practitioner, Pediatrics 363LP0200X
- Nurse Practitioner, Psych/Mental Health 363LP0808X
- Nurse Practitioner, Primary Care 363LP2300X
- Clinical Nurse Specialist 364S00000X
In this directory
Locations and evidence
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Practice location
DETROIT, MI, 482022608
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.