Healthcare Provider Details

I. General information

NPI: 1881273191
Provider Name (Legal Business Name): JOHN HOANG MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 W 10TH AVE
COLUMBUS OH
43210-1280
US

IV. Provider business mailing address

6701 N CHARLES ST
BALTIMORE MD
21204-6881
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3570
  • Fax:
Mailing address:
  • Phone: 443-849-3852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35154523
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0107881
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: