Active NPI
Hong Sik Kang, MD
- Psychiatry Physician
- Portsmouth, OH
National Provider Identifier
1073532966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35-04-3022
- Practice address
- 1825 Oakland Ave Ste 3B
Portsmouth, OH 45662-2937 - Phone
- (740) 354-4660
- Fax
- (740) 354-2465
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-04-3022 | OH | Primary |
Addresses
Primary practice location
1825 Oakland Ave Ste 3B
Portsmouth, OH 45662-2937
Mailing address
1825 Oakland Ave Ste 3B
Portsmouth, OH 45662-2937
Phone (740) 354-4660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420851 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1073532966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 OAKLAND AVE STE 3B",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622937",
"telephone_number": "740-354-4660",
"fax_number": "740-354-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 OAKLAND AVE STE 3B",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622937",
"telephone_number": "740-354-4660",
"fax_number": "740-354-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "HONG",
"middle_name": "SIK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-04-3022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0420851",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
- Rebecca Renee Kalb, MSN, FNP-C
- Aaron Todd Kallner, O.D.
- Kriti Kalra-Sehgal, MD
- Sarah Lindsay Kaltenbach, C.N.P.
- Kevin William Kammler, D.O.
- Adam Joseph Kantor, OTR/L
- Gregory Karasik, MD
- Katherine D. Carias, M.D., Inc (Asthma and Allergy Associates)
- Kathy a. Marks, MD, Inc.
- Bailey Michelle Kaulitz, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.