Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Interventional Cardiology Physician · Jackson, MI

NPI number 1497292361 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0001

Specialties and licenses

Taxonomy	Code	License
Interventional Cardiology Physician Primary	207RI0011X	1060000044 (MI)
Interventional Cardiology Physician	207RI0011X	None listed

Interventional Cardiology Physician: 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.

42 other providers at this address

Other interventional cardiology physician providers in Jackson

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NPI record

NPI: 1497292361
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 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 1497292361

W.a. Foote Memorial Hospital's National Provider Identifier is 1497292361, issued on Jan 30, 2017. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.