Organization Active NPI

Hong S Kang, M.D. Inc.

  • Psychiatric Residential Treatment Facility
  • Portsmouth, OH
National Provider Identifier
1437426673
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
35-043022 Issued in OH
Legal business name
HONG S KANG, M.D. INC.
Practice address
1825 Oakland Ave Ste 3B
Portsmouth, OH 45662-2937
Phone
(740) 354-4660
Fax
(740) 354-2465
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Hong Sik Kang, M.D.
Title
President
Phone
(740) 354-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 35-043022 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

IdentifierTypeStateIssuer
0420851MedicaidOH

National Provider Directory

National Provider Directory

Locations

1825 Oakland Ave
Ste 3B
Portsmouth, OH 45662
Phone (614) 354-4660

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1437426673",
    "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": {
        "organization_name": "HONG S KANG, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-354-4660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OH",
            "license": "35-043022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.