WA FOOTE MEMORIAL HOSPITAL INC. (NPI# 1427490408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427490408 |
| Entity Type | Organization |
| Organization Name | WA FOOTE MEMORIAL HOSPITAL INC. |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
205 N East Ave Jackson MI 49201-1753 |
| Practice Telephone | 5178411328 |
| Practice Fax Number | 5178411330 |
| Mailing Telephone | 5178417482 |
| Mailing Fax Number | 5178417476 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | JEANNE WICKENS (SR VP FINANCE CFO) |
| Authorized Official Telephone | 5178414769 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | WA FOOTE MEMORIAL HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Henry Ford Allegiance Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265806343 | Wa Foote Memorial Hospital Inc. | Pediatrics | 760 W Franklin St, Jackson, MI 49201-2048 | 2015-11-30 |
| 1073955050 | Wa Foote Memorial Hospital Inc. | Dietitian, Registered | 205 N East Ave, Jackson, MI 49201-1753 | 2013-07-19 |
| 1083971477 | Wa Foote Memorial Hospital Inc. | Internal Medicine | 205 N East Ave, Jackson, MI 49201-1753 | 2012-04-23 |
| Street Address |
205 N EAST AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736015 | Jackson Radiology Consultants, P.C. | Radiology | 205 N East Ave, Imaging Department, Jackson, MI 49201-1753 | 2005-08-02 |
| 1053910356 | Stephanie Galczyk | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-10-19 |
| 1467050948 | Nicole Elizabeth Knoth | Pharmacist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-10-15 |
| 1952918849 | Jaclyn Nicole Donovan | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-25 |
| 1518573732 | Taylor Petersen | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
| 1790391092 | Ashley Voss | Clinical Nurse Specialist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
| 1902411788 | Owen Jeffrey Wood | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-09 |
| 1669083721 | Holly Jenski Viaches | Occupational Therapist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-08-12 |
| 1205446739 | Sondos Al Khatib | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-08-10 |
| 1003433459 | Kory Ashton Strong | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-07-01 |
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| 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 Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235329038 | River Oaks Management Company, LLC | Hospitalist | 1850 Chadwick Drive, Jackson, MS 39204-3404 | 2007-07-27 |
| 1720635188 | West Tennessee Healthcare Hospitalists Inc | Hospitalist | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-21 |
| 1811420524 | Dong Wang | Hospitalist | 620 Skyline Dr, Jackson, TN 38301-3923 | 2017-04-10 |
| 1437682853 | Mark Lelli Jr. | Hospitalist | 2500 N State St, Jackson, MS 39216-4500 | 2017-04-04 |
| 1073051199 | W.a. Foote Memorial Hospital, Inc | Hospitalist | 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 | 2017-02-09 |
| 1306383278 | W.a. Foote Memorial Hospital, Inc | Hospitalist | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1104362292 | St. Dominic Hospital Medicine LLC | Hospitalist | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2017-01-12 |
| 1902260045 | Nicholas D Chamberlain | Hospitalist | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-05 |
| 1962867093 | Mississippi Baptist Medical Center, Inc | Hospitalist | 1225 N State St, Jackson, MS 39202-2064 | 2015-12-16 |
| 1376926378 | Parijat Mathur | Hospitalist | 205 N East Ave, Jackson, MI 49201-1753 | 2015-07-08 |
| Find all providers in JACKSON | ||||
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| 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.