Active NPI
Young K Hong, MD
- Diagnostic Radiology Physician
- Sandusky, OH
National Provider Identifier
1790783132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35050821
- Practice address
- 1101 Decatur St
Sandusky, OH 44870-3335 - Phone
- (419) 625-7061
- NPI assigned
- Jul 11, 2005
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35050821 | OH | Primary |
Addresses
Primary practice location
1101 Decatur St
Sandusky, OH 44870-3335
Mailing address
3129 Michaels Cir
Sandusky, OH 44870-5994
Phone (419) 626-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0785075 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Radiologists, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sandusky, OH
- NPI 1215963954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1790783132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 MICHAELS CIR",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705994",
"telephone_number": "419-626-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 DECATUR ST",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703335",
"telephone_number": "419-625-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "YOUNG",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35050821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0785075",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.