Foster Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FOSTER WELLNESS, LLC

Practice address

10400 Blacklick Eastern Rd Ste 130
Pickerington, OH 43147-7702

Phone

(305) 367-8378

Fax

(614) 639-8001

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Marko, APRN

Title

Ceo/Nurse Practitioner

Phone

(614) 578-8768

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Foster Mental Health Doing business as

Locations

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1942908488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 BLACKLICK EASTERN RD STE 110",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477702",
            "telephone_number": "305-367-8378",
            "fax_number": "614-639-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 BLACKLICK EASTERN RD STE 130",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477702",
            "telephone_number": "305-367-8378",
            "fax_number": "614-639-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "MARKO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-578-8768",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016320",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346762465",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foster Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bah Kezzy Fongang
• Yuliya Fonin, MS, RN-BSN
• Solange Valerie L Fonkem
• Foot and Ankle Specialists of Central Ohio LLC
• Foot and Ankle Specialists of Central Ohio LLC
• Gregory Foster
• Tyler Jacob Foy
• Maryjane Frank, LISW
• Freddys Home Care LLC
• Shelby Q Frederick, LMT, RP

• Health Service Clinic/Center in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.