HENRY FORD ALLEGIANCE HEALTH
NPI 1497292361
Internal Medicine - Interventional Cardiology in Jackson, MI

Active since January 30, 2017
205 N. EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2024, Aug 26, 2022, Feb 4, 2021 and 2 more (5 updates tracked since 2017).

About Henry Ford Allegiance Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY FORD ALLEGIANCE HEALTH (NPI 1497292361) is a healthcare organization registered as an interventional cardiology in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Mark A Smith, Svp, Cmo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497292361
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL, INC
Location Address205 N. EAST AVEJackson, MI 49201
Mailing AddressPo Box 670884 Department 272801Detroit, MI 48267-0001 · (517) 841-7843 · Fax (517) 841-7419
Fax(517) 841-7419
Organization SubpartYesParent: Henry Ford Allegiance Health Group
Authorized OfficialMark A SmithSvp, Cmo, Ceo · (517) 205-6407
Enumeration DateJanuary 30, 2017
Last NPPES UpdateMarch 6, 20245 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1497292361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in MI · 1060000044
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

205 N. EAST AVE, Jackson, MI 49201

Other Names 1

Doing Business AsHenry Ford Allegiance Health

Other Identifiers 1

Medicaid1760437826MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Endoscopy)
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Rehabilitation, Substance Use Disorder Unit
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Clinical Medical Laboratory
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
General Acute Care Hospital
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Surgery (Surgical Oncology)
205 N. EAST AVE
JACKSON, MI 49201
Pain Medicine (Pain Medicine)
205 N. EAST AVE
JACKSON, MI 49201
Surgery (Vascular Surgery)
205 N. EAST AVE
JACKSON, MI 49201
Internal Medicine (Hematology)
205 N. EAST AVE
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497292361, enumerated as an "organization" on January 30, 2017.

The provider is located at 205 N. EAST AVE JACKSON, MI 49201 and the phone number is (517) 841-7843.

Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.