Individual provider Active NPI

Hon Wa Fong, DPM

  • Foot & Ankle Surgery Podiatrist
  • Canton, MI
National Provider Identifier
1316910227
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002084 Issued in MI
Practice address
2050 N Haggerty Rd
Suite 120
Canton, MI 48187-3795
Phone
(734) 981-1086
Fax
(734) 981-2259
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002084 MI Primary
Podiatrist 213E00000X 5904002084 MI

Addresses

Primary practice location

2050 N Haggerty Rd
Suite 120
Canton, MI 48187-3795

Mailing address

PO Box 87949
Canton, MI 48187-0949
Phone (734) 716-6434

Other identifiers 3

IdentifierTypeStateIssuer
480D710100OtherMIHWL BC GROUP
4858213520OtherMIINDIVIDUAL BC
4748127MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000300 MI Practitioner - Podiatry 9032155478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 N Haggerty Rd
Suite 260
Canton, MI 48187-3796
Phone (734) 928-8700

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Taylor Inpatient rehabilitation facility, Taylor, MI, CCN 23T270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue170
Removal of nail tissue378
Removal or shaving of skin growth51
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5904002084MIMDPodiatrist
5901002084MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hon W Fong DPM PLLC Podiatrist CurrentSince Oct 1, 2005 Accepting new patients
John M Stevelinck DPM PC Podiatrist PastSince Jun 18, 2016 Accepting new patients
Oakwood Group IX, LLC Past Accepting new patients
Isidore Steiner DPM PC Podiatrist PastSince Apr 29, 2014 Accepting new patients
Michigan Multispecialty Physicians, P.C. Past Accepting new patients

Locations

2050 N Haggerty Rd
Ste 120
Canton, MI 48187
Phone (734) 729-1900

8546 N Canton Center Rd
Canton, MI 48187
Phone (800) 971-4948

2050 N Haggerty Rd
Ste 260
Canton, MI 48187
Phone (734) 359-5109

9398 N Lilley Rd
Plymouth, MI 48170
Phone (734) 254-0453

14585 Northline Rd
Southgate, MI 48195
Phone (734) 284-0635

25430 Goddard Rd
Taylor, MI 48180
Phone (313) 291-2637

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5301 McAuley Dr
#7N
Ypsilanti, MI 48197
Phone (734) 712-6751

Organizations & group practices 5

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 6

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1316910227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87949",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870949",
            "telephone_number": "734-716-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086",
            "fax_number": "734-981-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "HON",
        "middle_name": "WA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002084",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5904002084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HWL BC GROUP",
            "identifier": "480D710100",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BC",
            "identifier": "4858213520",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4748127",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.