Active NPI
Jack D Schocker, MD
- Radiation Oncology Physician
- State College, PA
National Provider Identifier
1356313852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD020848E
- Practice address
- 239 Colonnade Blvd
State College, PA 16803-2668 - Phone
- (582) 220-2218
- Fax
- (582) 220-2219
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD020848E | PA | Primary |
Addresses
Primary practice location
239 Colonnade Blvd
State College, PA 16803-2668
Mailing address
PO Box 687
Altoona, PA 16603-0687
Phone (582) 220-2218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008766200004 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Hahnemann University College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-2290
239 Colonnade Blvd
State College, PA 16803-2668
Phone (814) 643-8105
Hospital & facility affiliations
- Penn Highlands Huntingdon
- Upmc Altoona
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020848E | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J C Blair Memorial Hospital | Current | Accepting new patients | |
| J C Blair Memorial Hospital | Current | Accepting new patients | |
| J C Blair Memorial Hospital | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| J. C. Blair Memorial Hospital | Past | Accepting new patients |
Locations
1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206
239 Colonnade Blvd
State College, PA 16803
Phone (582) 220-2192
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Huntingdon, PA
- NPI 1427269174
-
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1427025840
-
- Pharmacy
- State College, PA
- NPI 1588408520
-
- Orthopaedic Surgery Physician
- State College, PA
- NPI 1609493790
-
- General Acute Care Hospital
- Huntingdon, PA
- NPI 1700878840
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obstetrics & Gynecology Physician
- State College, PA
- NPI 1326890419
Hospital
-
- General Acute Care Hospital
- State College, PA
- NPI 1932962859
-
- General Acute Care Hospital
- Huntingdon, PA
- NPI 1700878840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1356313852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166030687",
"telephone_number": "582-220-2218",
"fax_number": "582-220-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 COLONNADE BLVD",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032668",
"telephone_number": "582-220-2218",
"fax_number": "582-220-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOCKER",
"first_name": "JACK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD020848E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008766200004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.