NPIMap

Individual provider Active NPI

Craig H Fockler, DO

  • Family Medicine Physician
  • Johnstown, PA
National Provider Identifier
1104820687
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009255L Issued in PA
Practice address
336 Bloomfield St Ste 201
Johnstown, PA 15904-3271
Phone
(814) 266-5650
Fax
(814) 266-5653
NPI assigned
Jun 13, 2005
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009255L PA Primary

Addresses

Primary practice location

336 Bloomfield St Ste 201
Johnstown, PA 15904-3271

Mailing address

336 Bloomfield St Ste 201
Johnstown, PA 15904-3271
Phone (814) 266-5650

Other identifiers 1

IdentifierTypeStateIssuer
001600760MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000582 PA Practitioner - Family PracticePractitioner - Pain ManagementPractitioner - Emergency MedicinePractitioner - Preventive MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - General Surgery 8325063506 Reassigns benefits to 3 organizations
Practice locations: Berlin, PA; Johnstown, PA; Windber, PA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery, Pain Management, Preventive Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alleghenies Independent Physicians PCGroup PAC ID 4082662978, 8 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians

Practice addresses (Care Compare)

321 Main St
Suite 3D
Johnstown, PA 15901-1632
Phone (814) 535-7576

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Family Medicine CurrentSince Sep 8, 2024 Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Windber Hospital, Inc. CurrentSince Jun 1, 2005 Accepting new patients
Alleghenies Independent Physicians PC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Patriot Opco LLC Past Accepting new patients
Hilltop Heights Health & Rehab Center, LLC Past Accepting new patients
Johnstown PA Opco LLC Past Accepting new patients
Community Healthcare Operator Inc Past Accepting new patients
Senior Choice,Inc Past Accepting new patients

Locations

1415 Eisenhower Blvd
#B
Johnstown, PA 15904
Phone (814) 266-1616

241 Schoolhouse Rd
Ste 201
Johnstown, PA 15904
Phone (814) 266-5650

321 Main St
Ste 3D
Johnstown, PA 15901
Phone (814) 270-1230

321 Main St
Ste 3G
Johnstown, PA 15901
Phone (814) 254-6673

336 Bloomfield St
Ste 201
Johnstown, PA 15904
Phone (814) 266-5650

500 Galleria Dr
Ste 164
Johnstown, PA 15904

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: cfockler@f7c201b4.micromddirect.com
  • Direct secure messaging: cfockler6074@direct.conemaugh.org
  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maple Winds Healthcare and Rehabilitation Center, LLCPortage, PA, CCN 396088 Skilled nursing facility Adp of the SNF Mar 12, 2025
Heritage Senior Living at JohnstownJohnstown, PA, CCN 395439 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Patriot VillageSomerset, PA, CCN 395840 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Aug 1, 2024
Aug 1, 2024
Jan 3, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1104820687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD ST STE 201",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-266-5650",
            "fax_number": "814-266-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD ST STE 201",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-266-5650",
            "fax_number": "814-266-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCKLER",
        "first_name": "CRAIG",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009255L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001600760",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.