Organization
INDIAN CREEK FAMILY HEALTH OXFORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HOKE M.D. (OWNER/PHYSICIAN)
(513) 523-2340
Entity
Organization
Contact information
Practice address
10 N LOCUST ST, STE. D, OXFORD, OH 45056-1192
(513) 523-2340
(513) 523-5080
Mailing address
10 N LOCUST ST, SUITE D, OXFORD, OH 45056-1192
(513) 523-2340
(513) 523-5080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-090660
OH
207Q00000X
Family Medicine Physician
Primary
OH35076875H
OH
363A00000X
Physician Assistant
50000716
OH
363LF0000X
Family Nurse Practitioner
NP10024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164557575
NPI
OH
01
—
1730313990
NPI
OH
01
—
1912017583
NPI
OH
01
—
1912166729
NPI
OH
Enumeration date
09/25/2013
Last updated
10/01/2013
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