Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Interventional Pain Medicine Physician · Jackson, MI

NPI number 1982141123 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 48267-0884

Specialties and licenses

Taxonomy	Code	License
Interventional Pain Medicine Physician Primary	208VP0014X	1060000044 (MI)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

42 other providers at this address

Other interventional pain medicine physician providers in Jackson

Neuropathy and Pain Centers of America Holding Company, LLCInterventional Pain Medicine Physician Jackson, MI NPI 1548522774

See all in Jackson →

NPI record

NPI: 1982141123
Entity type: Organization (Type 2)
Issued: Jan 26, 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

Verify this record

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 1982141123

W.a. Foote Memorial Hospital's National Provider Identifier is 1982141123, issued on Jan 26, 2017. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.