Healthcare Provider Details

I. General information

NPI: 1396707295
Provider Name (Legal Business Name): YAO CHENG ONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5542 HIGH ST SUITE C
NEW PORT RICHEY FL
34652-4026
US

IV. Provider business mailing address

4712 GRANDVIEW AVE
NEW PORT RICHEY FL
34652-1039
US

V. Phone/Fax

Practice location:
  • Phone: 727-842-4848
  • Fax: 727-842-9513
Mailing address:
  • Phone: 727-841-4687
  • Fax: 727-841-4656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberME52118
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME52118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: