OrganizationActive
Wa Foote Memorial Hospital
NPI 1700355195 · Obesity Medicine (Internal Medicine) Physician · Jackson, MI
Provider details
- NPI number
- 1700355195
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- W a Foote Memorial Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Mark Smith, Svp, Cmo(517) 205-6407
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-3867
Fax: (517) 803-2133
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 67000, Department 272801
Detroit, MI 48267-2728
Other names (DBA / former)
- Doing business as
- Henry Ford Allegiance Health
- Doing business as
- Henry Ford Allegiance Health
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.