Healthcare Provider Details

I. General information

NPI: 1881056737
Provider Name (Legal Business Name): CALVIN FENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 03/07/2022
Certification Date: 02/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 MERCY HEALTH BLVD
CINCINNATI OH
45211-1103
US

IV. Provider business mailing address

4030 SMITH RD STE 325
CINCINNATI OH
45209-1937
US

V. Phone/Fax

Practice location:
  • Phone: 513-215-5000
  • Fax:
Mailing address:
  • Phone: 513-817-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35.139113
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.139113
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: