Individual provider Active NPI

Craig Douglas Fox, M.D

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1194701821
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD025638E Issued in PA
Practice address
2 Wilson Ave
Washington, PA 15301-3335
Phone
(724) 228-4550
Fax
(724) 228-3746
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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 MD025638E PA Primary

Addresses

Primary practice location

2 Wilson Ave
Washington, PA 15301-3335

Mailing address

2 Wilson Ave
Washington, PA 15301-3335
Phone (724) 228-4550

Other identifiers 3

IdentifierTypeStateIssuer
017701100OtherPABLACK LUNG
000898547MedicaidPA
080008703OtherPARAILROAD MEDICARE 193391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000294 PA Practitioner - Family Practice 0648396085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025638EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1194701821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013335",
            "telephone_number": "724-228-4550",
            "fax_number": "724-228-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013335",
            "telephone_number": "724-228-4550",
            "fax_number": "724-228-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "CRAIG",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025638E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "017701100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000898547",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE 193391",
            "identifier": "080008703",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.