HENRY FORD ALLEGIANCE HEALTH
NPI 1700355195
Internal Medicine - Obesity Medicine in Jackson, MI

Q: What is Wa Foote Memorial Hospital's NPI number?

The NPI number for Wa Foote Memorial Hospital is 1700355195. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Henry Ford Allegiance Health.

Q: What is Wa Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Active since November 15, 2018

205 N EAST AVE, JACKSON, MI 49201(517) 205-3867(517) 803-2133 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2024, Nov 15, 2018 (2 updates tracked since 2018).

On this page

About Henry Ford Allegiance Health NPPES

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

HENRY FORD ALLEGIANCE HEALTH (NPI 1700355195) is a healthcare organization registered as an obesity medicine in Jackson, Michigan and active in the NPI registry since November 2018. The organization lists Mark Smith, Svp, Cmo, as its authorized official.

NPPES Registry Identity

NPI1700355195

Entity TypeOrganization

Primary Taxonomy207RB0002X

Legal Business NameWA FOOTE MEMORIAL HOSPITAL

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-2728 · (517) 205-3867 · Fax (517) 803-2133

Phone(517) 205-3867

Fax(517) 803-2133

Organization SubpartYesParent: W A Foote Memorial Hospital Inc

Authorized OfficialMark SmithSvp, Cmo · (517) 205-6407

Enumeration DateNovember 15, 2018

Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1700355195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RB0002X

Definition

An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X

Also ListedPsychiatry & Neurology · Obesity MedicineTaxonomy 2084B0002X

Also ListedSurgeryTaxonomy 208600000X

205 N EAST AVE, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Allegiance Health

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Ford Allegiance Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

472

Medicare enrollment records show 472 clinicians reassign Medicare billing to Henry Ford Allegiance Health, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 129 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Internal Medicine70

Anesthesiology60

Family Practice50

Gastroenterology29

Pathology29

Radiation Oncology20

Otolaryngology19

General Surgery16

36 other specialties179

Nearest to this location (20)

See all 472

Ashraf Abou El Ela, MD

Thoracic Surgery

NPI 1609149632

205 N EAST AVE
Jackson, MI 49201

(517) 205-4862

✔ PECOSSame address

Sameer Ahmed, M.D

Internal Medicine

NPI 1972725083

205 N EAST AVE
Jackson, MI 49201

(517) 205-4946

✔ PECOS✔ Accepts MedicareSame address

Raad Al Shaikhli, M.D

Hospitalist

NPI 1326433483

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Kelly Cannon, NP

Nurse Practitioner

NPI 1992160451

205 N EAST AVE
Jackson, MI 49201

(517) 788-4730

✔ PECOS✔ Accepts MedicareSame address

William Cederquist, MD

Anesthesiology

NPI 1295961241

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOSSame address

Lesley Combs, D.O.

Critical Care (Intensivists)

NPI 1285844191

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Mark Double, D.O.

Anesthesiology

NPI 1669403903

205 N EAST AVE
Jackson, MI 49201

(517) 788-4963

✔ PECOS✔ Accepts MedicareSame address

Mohamed El Fakiy, MD

Family Practice

NPI 1073139788

205 N EAST AVE
Jackson, MI 49201

(816) 394-6643

✔ PECOS✔ Accepts MedicareSame address

Soumaya Ezwawi, M.D.

Internal Medicine

NPI 1881045847

205 N EAST AVE
Jackson, MI 49201

(517) 205-1328

✔ PECOS✔ Accepts MedicareSame address

Andrew Girgis, DO

Family Practice

NPI 1194253807

205 N EAST AVE
Jackson, MI 49201

(517) 205-3998

✔ PECOS✔ Accepts MedicareSame address

Colleen Howing, MD

Hospice/Palliative Care

NPI 1467073197

205 N EAST AVE FL 5
Jackson, MI 49201

(517) 205-7289

✔ PECOSSame address

Mary Jarzebowski, M.D.

Anesthesiology

NPI 1770847196

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Frederic Joyce, MD

Thoracic Surgery

NPI 1316994304

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Courtland Keteyian, MD

Preventive Medicine

NPI 1821382235

205 N. EAST AVENUE
Jackson, MI 49201

(517) 205-5995

✔ PECOSSame address

Hamsa Khalil, MD

Internal Medicine

NPI 1427409788

205 N EAST AVE
Jackson, MI 49201

(517) 788-4800

✔ PECOS✔ Accepts MedicareSame address

Brian Knipp, M.D.

Vascular Surgery

NPI 1386763332

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS✔ Accepts MedicareSame address

Rangarao Panguluri, MD

Gastroenterology

NPI 1619952405

205 N EAST AVE
Jackson, MI 49201

(517) 205-7836

✔ PECOS✔ Accepts MedicareSame address

Yaw Sarpong, MD

Neurosurgery

NPI 1073779435

205 N EAST AVE
Jackson, MI 49201

(517) 205-1591

✔ PECOS✔ Accepts MedicareSame address

Jonathan Schweid, M.D.

General Surgery

NPI 1891991931

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

Nikhath Zeeshan, MD

Infectious Disease

NPI 1639458813

205 N EAST AVE
Jackson, MI 49201

(517) 205-4800

✔ PECOS✔ Accepts MedicareSame address

See all 472 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wa Foote Memorial Hospital's NPI number?

The NPI number for Wa Foote Memorial Hospital is 1700355195. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Henry Ford Allegiance Health.

Where is Wa Foote Memorial Hospital located?

Wa Foote Memorial Hospital is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-3867.

What is Wa Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Is Wa Foote Memorial Hospital enrolled in Medicare?

Yes. Wa Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wa Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 472 clinicians in 44 Medicare specialties reassign their Medicare billing to Wa Foote Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (70), Anesthesiology (60) and Family Practice (50). Of these, 29 practice at this address and 129 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wa Foote Memorial Hospital was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.