Indian Creek Family Health Oxford LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OH35076875H Issued in OH

Legal business name

INDIAN CREEK FAMILY HEALTH OXFORD LLC

Practice address

10 N Locust St
Ste. D
Oxford, OH 45056-1192

Phone

(513) 523-2340

Fax

(513) 523-5080

NPI assigned

Sep 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason Hoke, M.D.

Title

Owner/Physician

Phone

(513) 523-2340

Specialties & licenses 4

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1770919599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "SUITE D",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-2340",
            "fax_number": "513-523-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "STE. D",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-2340",
            "fax_number": "513-523-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN CREEK FAMILY HEALTH OXFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "HOKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "513-523-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH35076875H",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-090660",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000716",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP10024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164557575",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912017583",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730313990",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912166729",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Ann Hughes
• Terry G Hunt, MD
• Kathleen Mary Hutchinson, PH.D., CCC-A
• Madeline Iden
• Indian Creek Family Hea
• Keiko Ishikawa, CCC, SLP
• Ivy's Healing Path Mental Health Services LLC
• Jack Bridge, O.D., Inc.
• Joseph William Jackson, D.D.S.
• Nathaniel Joseph Jackson, D.D.S.

• Family Medicine Physician in Oxford, OH
• Providers in Oxford, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.