Active NPI
Fomenky LLC
- Family Nurse Practitioner
- Delaware, OH
National Provider Identifier
1619797677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FOMENKY LLC
- Practice address
- 336 W Wind Rd
Delaware, OH 43015-7737 - Phone
- (000) 000-0000
- NPI assigned
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Fomenky
- Title
- Owner/Ceo
- Phone
- (000) 000-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
336 W Wind Rd
Delaware, OH 43015-7737
Mailing address
336 W Wind Rd
Delaware, OH 43015-7737
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1619797677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 W WIND RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430157737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W WIND RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430157737",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOMENKY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "FOMENKY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "000-000-0000"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.