Doctor profile · Federal record

Dr. Mallory Fochtman, CNP

Women's Health Nurse Practitioner · Bellbrook, OH

  • NPI 1104355510
  • 9 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2006 Cabernet Way
Bellbrook, OH 453057502
(719) 258-0848

Credentials & registration

NPPES · NUCC
NPI registered
June 2017 — 9 yrs on file
Profile last updated
October 1, 2023
Specialty taxonomy
363LW0102X — NUCC code
State license (1)
Ohio #APRN.CNP.0035041

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104355510. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$225
Transactions
9
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Gilead Sciences, INC. 3 $150.33
Organon LLC 4 $37.42
Merck Sharp & Dohme LLC 1 $19.75
Exeltis, USA INC. 1 $17.99

By nature of payment

Food and Beverage
$225

Frequently asked questions

Auto-generated from federal data
What is Dr. Mallory Fochtman's medical specialty?
Dr. Mallory Fochtman practices Women's Health Nurse Practitioner in Bellbrook, OH.
Where does Dr. Mallory Fochtman practice?
Dr. Mallory Fochtman practices at 2006 Cabernet Way, Bellbrook, OH 453057502. Office phone: 7192580848.
What is Dr. Mallory Fochtman's NPI?
Dr. Mallory Fochtman's National Provider Identifier (NPI) is 1104355510, issued by NPPES.