Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

W.a. Foote Memorial Hospital, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1780121970

W.a. Foote Memorial Hospital, Inc is a Plastic and Reconstructive Surgery Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 N East Ave
Jackson, MI 49201
Phone: (517) 841-7843
Fax: (517) 841-7419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 1060000044 (MI)

Record details

NPI number1780121970
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHenry Ford Allegiance Health Group
Authorized official Mark Smith — Svp, Cmo, Ceo · (517) 205-6407
Other names Henry Ford Allegiance Health
NPI enumeratedJanuary 25, 2017
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267