Provider Demographics
NPI:1912017583
Name:HOKE, JASON A (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:HOKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 MORNING SUN RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-8928
Mailing Address - Country:US
Mailing Address - Phone:513-839-2100
Mailing Address - Fax:513-952-9058
Practice Address - Street 1:5235 MORNING SUN RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-8928
Practice Address - Country:US
Practice Address - Phone:513-839-2100
Practice Address - Fax:513-952-9058
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076875207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000195189OtherANTHEM BCBS
H09817Medicare UPIN
OH4010243Medicare PIN