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NPI Code Detail

MEDICARE: DR. A. JONATHAN MIHOK DO

MEDICARE: DR. A. JONATHAN MIHOK DO
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
1207P00000XEmergency Medicine Physician42164CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265408330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. A. JONATHAN MIHOK DO
Provider Business Mailing Address
First Line : 1370 GLADE GULCH RD
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-9663
Country : US
Telephone Number : 303-518-5544
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-4531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 12/10/2025

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