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

Wa Foote Memorial Hospital

Organization Obesity Medicine (Family Medicine) Physician · NPI 1700355195

Wa Foote Memorial Hospital is an Obesity Medicine (Family Medicine) Physician in Jackson, Michigan. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-3867
Fax: (517) 803-2133
Show map & directions

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

Specialties & licences

Obesity Medicine (Internal Medicine) Physician (primary) Taxonomy 207RB0002X
Obesity Medicine (Family Medicine) Physician Taxonomy 207QB0002X
Obesity Medicine (Psychiatry & Neurology) Physician Taxonomy 2084B0002X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1700355195
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationW a Foote Memorial Hospital Inc
Authorized official Mark Smith — Svp, Cmo · (517) 205-6407
Other names Henry Ford Allegiance Health; Henry Ford Allegiance Health
NPI enumeratedNovember 15, 2018
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-2728

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