David Alan Femovich, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

042289E Issued in PA

Practice address

4100 Regent St # 4-H
Columbus, OH 43219-6153

Phone

(380) 267-3602

NPI assigned

Jul 7, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1033116785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODLAND DR",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012079",
            "telephone_number": "814-673-5753",
            "fax_number": "814-677-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 REGENT ST # 4-H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196153",
            "telephone_number": "380-267-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEMOVICH",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-01",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.135166",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "042289E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Francis Feltes, MD
• Tyler Feltham, DO
• Adrienne Felts, PCC
• Natasha Felts
• Tamyra Felts
• Alvin Fenderson
• Aquarius Ann Fenderson, LPN
• Jada Fenderson
• Laverne Annetta Fenderson
• Renee Michelle Fenderson, LPN

• Plastic and Reconstructive Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.