MEDICARE: JOHN F KOKESH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	4114	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427090430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F KOKESH M.D.

Provider Business Mailing Address
First Line	:	3331 E MERIDIAN PARK LOOP
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99654-7294
Country	:	US
Telephone Number	:	907-864-4625
Fax Number	:	907-313-1540

Provider Business Practice Location Address
First Line	:	1100 E DIMOND BLVD STE 201
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-2001
Country	:	US
Telephone Number	:	907-348-2800
Fax Number	:	833-450-5754

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	12/01/2025

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