HENRY FORD ALLEGIANCE HEALTH
NPI 1710424908
Surgery - Hospice and Palliative Medicine in Jackson, MI

Q: What is W.A. Foote Memorial Hospital, Inc's NPI number?

The NPI number for W.A. Foote Memorial Hospital, Inc is 1710424908. It was assigned to this organization in the NPPES registry on January 25, 2017. The provider is doing business as Henry Ford Allegiance Health.

Q: What is W.A. Foote Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Hospice and Palliative Medicine, with taxonomy code 2086H0002X.

Active since January 25, 2017

205 N. EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 541-7419 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, Jan 25, 2017 (2 updates tracked since 2017).

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 1710424908) is a healthcare organization registered as a hospice and palliative medicine in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Mark Smith, Svp, Cmo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710424908

Entity TypeOrganization

Primary Taxonomy2086H0002X

Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL, INC

Location Address205 N. EAST AVEJackson, MI 49201

Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267 · (517) 841-7843 · Fax (517) 841-7419

Phone(517) 841-7843

Fax(517) 541-7419

Organization SubpartYesParent: Henry Ford Allegiance Health Group

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

Enumeration DateJanuary 25, 2017

Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1710424908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2086H0002X

License✔ Licensed in MI · 1060000044

Definition

A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

205 N. EAST AVE, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Allegiance Health

Other Identifiers 1

Medicaid1760437826MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 W.A. Foote Memorial Hospital, Inc's NPI number?

The NPI number for W.A. Foote Memorial Hospital, Inc is 1710424908. It was assigned to this organization in the NPPES registry on January 25, 2017. The provider is doing business as Henry Ford Allegiance Health.

Where is W.A. Foote Memorial Hospital, Inc located?

W.A. Foote Memorial Hospital, Inc is located at 205 N. East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.

What is W.A. Foote Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Hospice and Palliative Medicine, with taxonomy code 2086H0002X.

Is W.A. Foote Memorial Hospital, Inc enrolled in Medicare?

Yes. W.A. Foote Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W.A. Foote Memorial Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 472 clinicians in 44 Medicare specialties reassign their Medicare billing to W.A. Foote Memorial Hospital, Inc. 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 W.A. Foote Memorial Hospital, Inc 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.