OrganizationActive
Wa Foote Memorial Hospital
NPI 1982825139 · Pediatric Orthopaedic Surgery Physician · Jackson, MI
Provider details
- NPI number
- 1982825139
- Entity type
- Organization
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wa Foote Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Jeanne' Wickens, Senior Vice President of Finance(517) 788-4883
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4800
Street-level locationGet directions
Mailing address
Po Box 67000
Detroit, MI 48267-2728
Other names (DBA / former)
- Doing business as
- On Hold
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2008-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.