Individual provider Active NPI

Feng Yang Zhao, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Richmond Heights, OH
National Provider Identifier
1104230465
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
27100 Chardon Rd
Richmond Heights, OH 44143-1116
Phone
(440) 585-6141
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH Primary

Addresses

Primary practice location

27100 Chardon Rd
Richmond Heights, OH 44143-1116

Mailing address

3716 Longwood CT
Cleveland Heights, OH 44118-1541

Other identifiers 1

IdentifierTypeStateIssuer
Z200248014729OtherMIMICHIGAN STATE DRIVER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102001902 WA Practitioner - Family Practice 7618233966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

1990 Hospital Dr
Sedro Woolley, WA 98284-9315

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

Hospital & facility affiliations

  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Oct 16, 2017 Accepting new patients

Locations

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830

1990 Hospital Dr
Ste 200
Sedro Woolley, WA 98284
Phone (360) 856-4222

Interoperability endpoints

  • Direct secure messaging: fzhao355457@direct.peacehealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1104230465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 LONGWOOD CT",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CHARDON RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431116",
            "telephone_number": "440-585-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "FENG",
        "middle_name": "YANG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE DRIVER LICENSE",
            "identifier": "Z200248014729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.