DR. MICHAEL JOSEPH FOMICH (NPI# 1619043239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619043239 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH FOMICH |
| Credential | DDS |
| Practice Address |
125 E Main St. Louisville OH 44641 |
| Practice Telephone | 3307533007 |
| Practice Fax Number | 3307533000 |
| Mailing Telephone | 3308758027 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2012-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19794 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0965988 | 05 |
| Street Address |
125 E MAIN ST. |
| City | LOUISVILLE |
| State | OH |
| Zip Code | 44641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382329 | Wesley A Weisel | Home Health Aide | 6291 Joliat Avenue, Louisville, OH 44641 | 2020-03-23 |
| 1437313475 | Alliance Pulmonary Associates Inc | Internal Medicine | 5860 Louisville Street Ne, Louisville, OH 44641 | 2008-07-17 |
| 1710176516 | Jerry Duane Weber | Counselor | 1520 California Ave, Louisville, OH 44641 | 2007-10-17 |
| 1811184419 | Mark Allen Schrader | Chiropractor | 4055 Beck Ave, Louisville, OH 44641 | 2007-09-27 |
| 1962570804 | Tanja Mccoy | Licensed Practical Nurse | 1630 2 East Main Street, Louisville, OH 44641 | 2006-11-30 |
| 1043287501 | Lynette M Rennecker | Internal Medicine | 1909 Williamsburg Way Nw, Louisville, OH 44641 | 2006-03-03 |
| 1902020530 | Daren M Harsh | Physical Therapy Assistant | 1421 S Nickelplate, Louisville, OH 44641 | 2007-04-13 |
| 1710092291 | Lamberto T Galang Md, Inc. | Family Medicine | 1010 W Main St, Louisville, OH 44641 | 2006-08-21 |
| 1609981190 | Zenaida A Chugtai Md Inc | Pediatrics | 1012 W Main St, Louisville, OH 44641 | 2006-08-21 |
| 1851377337 | Christine A Deck | Nurse Practitioner | 1303 California Ave, Louisville, OH 44641 | 2005-12-16 |
| Find all providers in zip 44641 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781485 | Rylie Mike-mayer | Dentist | 302 Axis Dr Apt 401, Louisville, KY 40206-0139 | 2019-07-09 |
| 1922580653 | Advanced Dental Center, Inc. | Dentist | 1901 Rudy Ln Ste 4, Louisville, KY 40207-1384 | 2018-08-29 |
| 1043701451 | Diana H Tran | Dentist | 501 S Preston St Rm 148, Louisville, KY 40202-1701 | 2018-05-21 |
| 1992295653 | Tyler Benton Blount | Dentist | 8013 New La Grange Rd Ste 6, Louisville, KY 40222-4700 | 2018-05-17 |
| 1407346901 | Louisville Dental Associates LLC | Dentist | 16701 E Main St, Louisville, MS 39339-2751 | 2018-05-10 |
| 1194238816 | Dental Services of Kentucky, Psc | Dentist | 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 | 2017-11-16 |
| 1366963373 | Caleb William Reece | Dentist | 2201 Biljana Dr Apt 1, Louisville, KY 40206-2175 | 2017-06-29 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1740733559 | Jonathan Mitchell, Dmd, Psc | Dentist | 1716 Gardiner Ln, Louisville, KY 40205-2738 | 2016-07-27 |
| 1215389168 | Charles Kendrick Bunch | Dentist | 1030 Mulberry St, Louisville, KY 40217-1253 | 2016-07-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 44641 |
Please comment or provide details below to improve the information on DR. MICHAEL JOSEPH FOMICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.