Individual provider Active NPI

Craig T Johnston, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1679537138
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004812L Issued in PA
Practice address
3535 Pine Ave
1St Floor
Erie, PA 16504-1743
Phone
(814) 454-3363
Fax
(814) 454-4945
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 OS004812L PA Primary

Addresses

Primary practice location

3535 Pine Ave
1St Floor
Erie, PA 16504-1743

Mailing address

3535 Pine Ave
1St Floor
Erie, PA 16504-1743
Phone (814) 454-3363

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
I20091231000417 PA Practitioner - Family Practice 7517991045 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epn Hamot Urgent Care LLC Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Regional Health Services Inc Family Medicine CurrentSince Mar 31, 2012 Accepting new patients
Erie Physicians Network-Upmc,Inc Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Erie Physicians Network, PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

3535 Pine Ave
Ste 2
Erie, PA 16504
Phone (814) 454-3363

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3535 Pine Ave
Erie, PA 16504
Phone (814) 454-3363

7200 Peach St
Unit 16
Erie, PA 16509
Phone (814) 860-3301

215 Holland St
Erie, PA 16507
Phone (814) 453-5058

3535 Pine Ave
Ste 1
Erie, PA 16504
Phone (814) 454-3363

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679537138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PINE AVE",
            "address_2": "1ST FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041743",
            "telephone_number": "814-454-3363",
            "fax_number": "814-454-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PINE AVE",
            "address_2": "1ST FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041743",
            "telephone_number": "814-454-3363",
            "fax_number": "814-454-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CRAIG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004812L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.