Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Podiatrist · Jackson, MI

NPI number 1255878112 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

Taxonomy	Code	License
Podiatrist Primary	213E00000X	1060000044 (MI)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

42 other providers at this address

Other podiatrist providers in Jackson

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NPI record

NPI: 1255878112
Entity type: Organization (Type 2)
Issued: Jan 30, 2017
Last updated: Oct 22, 2026
Status: Active

Other names

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Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as
Henry Ford Jackson Health · doing business as

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255878112

W.a. Foote Memorial Hospital's National Provider Identifier is 1255878112, issued on Jan 30, 2017. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.