Healthcare Provider Details

I. General information

NPI: 1144642794
Provider Name (Legal Business Name): FEMM FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2014
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ALTAIR PKWY STE 3100
WESTERVILLE OH
43082-7653
US

IV. Provider business mailing address

PO BOX 16914
BELFAST ME
04915-4064
US

V. Phone/Fax

Practice location:
  • Phone: 614-360-9995
  • Fax: 844-571-1777
Mailing address:
  • Phone: 614-360-9995
  • Fax: 844-571-1777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: EMILY BOSTARD
Title or Position: FEMM CLINICAL CARE MANAGER
Credential:
Phone: 614-360-9995