Provider Demographics
NPI:1205479508
Name:HONG, FENG
Entity type:Individual
Prefix:DR
First Name:FENG
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 HIGH ST STE 17
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4165
Mailing Address - Country:US
Mailing Address - Phone:614-259-7188
Mailing Address - Fax:614-810-6088
Practice Address - Street 1:2323 LAKE CLUB DR STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3101
Practice Address - Country:US
Practice Address - Phone:614-259-7188
Practice Address - Fax:614-810-6088
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000354171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0376027Medicaid