W.A. FOOTE MEMORIAL HOSPITAL, INC


Address: 205 N. East Ave, Jackson, MI 49201
Phone: 5178417843

W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI# 1326585522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326585522
Entity Type Organization
Organization Name W.A. FOOTE MEMORIAL HOSPITAL, INC
Other Organization Name HENRY FORD ALLEGIANCE HEALTH
Practice Address 205 N. East Ave
Jackson
MI 49201
Mailing Address Po Box 67000
Department 272801
Detroit
MI 48267
Practice Telephone 5178417843
Practice Fax Number 5178417419
Mailing Telephone 5178417843
Mailing Fax Number 5178417419
Enumeration Date 2017-01-25
Last Update Date 2017-03-01
Authorized Official Name KEVIN LEONARD (VP FINANCE)
Authorized Official Telephone 5178417843
Is Organization Subpart Y
Parent Organization Name HENRY FORD ALLEGIANCE HEALTH GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
1060000044 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1760437826 05

Other Provider/Organization Names

Other Name Type Code
Henry Ford Allegiance Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1023512936 W.a. Foote Memorial Hospital, Inc Clinical Medical Laboratory 4304 Page Ave, Michigan Center, MI 49254-1078 2018-03-23
1306386586 W.a. Foote Memorial Hospital, Inc Surgery 205 N East Ave, Jackson, MI 49201-1753 2017-03-07
1073051199 W.a. Foote Memorial Hospital, Inc Hospitalist 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 2017-02-09
1912445677 W.a. Foote Memorial Hospital, Inc Psychiatry & Neurology 205 N. East Ave, Jackson, MI 49201 2017-02-02
1134666936 W.a. Foote Memorial Hospital, Inc Dermatology 205 N. East Ave, Jackson, MI 49201 2017-01-31
1649717448 W.a. Foote Memorial Hospital, Inc Surgery 205 N. East Ave., Jackson, MI 49201 2017-01-31
1538606348 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-31
1891232740 W.a. Foote Memorial Hospital, Inc Pediatrics 205 N. East Ave, Jackson, MI 49201 2017-01-30
1356888218 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30

Office Location

Street Address 205 N. EAST AVE
City JACKSON
State MI
Zip Code 49201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780776138 W.a. Foote Memorial Hospital, Inc. Clinic/Center 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 2006-09-29
1528620366 Maha Mahesh Bayya Student in an Organized Health Care Education/Training Program 205 N. East Ave, Gme - 2nd Floor Cab, Jackson, MI 49201-1753 2019-07-02
1558856187 Narine Shirvanian Student in an Organized Health Care Education/Training Program 205 N. East Ave, 2nd Floor Anderson Building, Jackson, MI 49201 2018-06-26
1255861241 Michael Doyle Student in an Organized Health Care Education/Training Program 205 N. East Ave, Jackson, MI 49201 2017-06-13
1073051199 W.a. Foote Memorial Hospital, Inc Hospitalist 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 2017-02-09
1912445677 W.a. Foote Memorial Hospital, Inc Psychiatry & Neurology 205 N. East Ave, Jackson, MI 49201 2017-02-02
1134666936 W.a. Foote Memorial Hospital, Inc Dermatology 205 N. East Ave, Jackson, MI 49201 2017-01-31
1538606348 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-31
1891232740 W.a. Foote Memorial Hospital, Inc Pediatrics 205 N. East Ave, Jackson, MI 49201 2017-01-30
1356888218 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902374085 St. Dominic Medical Associates LLC Internal Medicine 970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 2018-11-07
1740353515 Deborah S. Skelton Internal Medicine 971 Lakeland Dr Ste 1160, Jackson, MS 39216-4609 2006-11-17
1679657860 Shanti Siddiqui Internal Medicine 609 New York Ranch Rd, Jackson, CA 95642-9328 2006-10-24
1598708752 Nadeem Ullah Md Internal Medicine 720 W Franklin, Suite 2, Jackson, MI 49201-1676 2006-06-14
1477525103 Babu V Rao Internal Medicine 241 Stonebridge Blvd, Jackson, TN 38305-2179 2006-02-06
1447249354 Gastrointestinal Endoscopy Center Internal Medicine 1405 N State St, Suite 300, Jackson, MS 39202-1642 2005-10-14
1649268822 Billy W Long Internal Medicine 1421 N State St, Suite 203, Jackson, MS 39202-1658 2005-10-11
1700873056 Allan M Menachem Internal Medicine 9 Physicians Dr, Jackson, TN 38305-2071 2005-10-03
1376549816 John Joseph Sheehan Jr. Internal Medicine 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 2005-06-21
1730418831 Nadeem Ullah Md Plc Internal Medicine 720 W Franklin St, Unit 2, Jackson, MI 49201-1674 2009-12-18
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 49201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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