Hoke Medical
Organization Active NPI Family Medicine Physician · Charlestown, IN
NPI 1780153726 · NPPES record last updated Mar 26, 2020
Key facts
- NPI
- 1780153726
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HOKE MEDICAL
- Practice address
- 1454 Market St
Charlestown, IN 47111-1839 - Phone
- (812) 503-5071
- Fax
- (812) 503-5076
- NPI assigned
- Nov 20, 2018
- Organization subpart
- No
Authorized official
- Name
- William E Hoke Jr., MD
- Title
- Owner
- Phone
- (812) 503-5071
Practitioners 11
-
William Enloe Hoke Jr., M.D.
-
Tonya M Broughton, APRN, FNP-BC
-
Sarah E. Todd, NP
-
Kristy Crace, NP
-
Richard Joseph Bobay, ARNP-C
-
Kathleen W Free, ARNP
-
Adam A French, MD
-
Dana Lynnette Nickell, ARNP
-
Shiloh Ann Stocksdale, APRN
-
Julie Anne Todd, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2180933 | Hoke Medical LLC | Certificate of waiver | Mar 23, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181205003503 | IN | Part B Supplier - Clinic/Group Practice | 6204170038 |
Receives reassigned benefits from 4 practitioners Practice locations: Charlestown, IN; Scottsburg, IN; Madison, IN; Hanover, IN; Clarksville, IN; Dillsboro, IN |
National Provider Directory
Locations
1454 Market St
Charlestown, IN 47111
Phone (812) 256-6317
1350 N Todd Dr
#B
Scottsburg, IN 47170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1454 Market St
Charlestown, IN 47111-1839
Mailing address
3901 County Road 160
Charlestown, IN 47111-9181
Phone (812) 503-5071
Other providers in Charlestown, IN
- Denise Hazelwood
- Emily Rachelle Henderson
- Michael Patrick Hensley
- Audrey Hochgesang
- Rita Lynn Hoffman
- William Enloe Hoke Jr.
- Kacie J Howell
- Mazen M Ibrahim
- Indiana Emergency Physicians LLP
- Crystal Isaacs
All providers in Charlestown, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.