Active NPI
Don J. Fontana, M.D.
- Plastic Surgery Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D0023431
- Practice address
- 3500 Old Washington Rd.
Suite 201
Waldorf, MD 20602-3238 - Phone
- (301) 870-0600
- Fax
- (301) 870-0609
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 22431 | NH | |
| Plastic Surgery Physician | 208200000X | MD10918 | DC | |
| Plastic Surgery Physician | 208200000X | 2909 | WI | |
| Plastic Surgery Physician | 208200000X | D0023431 | MD | Primary |
Addresses
Primary practice location
3500 Old Washington Rd.
Suite 201
Waldorf, MD 20602-3238
Mailing address
3500 Old Washington Rd.
Suite 201
Waldorf, MD 20602-3238
Phone (301) 870-0600
Other practice location 1
246 Pleasant St Ste 210
Concord, NH 03301-2548
Phone (603) 224-5200
Other practice location 2
130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3282DJ | Other | MD | BCBS MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2909 | WI | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliates in Plastic Surgery, LLC | Plastic Surgery | Current | Accepting new patients |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Affiliates in Plastic Surgery, LLC | Current | Accepting new patients |
Locations
5530 Wisconsin Ave
Ste 711
Chevy Chase, MD 20815
Phone (301) 232-3000
4660 Kenmore Ave
Ste 220
Alexandria, VA 22304
Phone (703) 832-4000
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- dfontana330621@direct.thedacare.org
Organizations & group practices 3
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.
-
- Plastic and Reconstructive Surgery Physician
- Rockville, MD
- NPI 1336863844
-
- Plastic Surgery Physician
- Alexandria, VA
- NPI 1164848529
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1124003421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 OLD WASHINGTON RD.",
"address_2": "SUITE 201",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023238",
"telephone_number": "301-870-0600",
"fax_number": "301-870-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 OLD WASHINGTON RD.",
"address_2": "SUITE 201",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023238",
"telephone_number": "301-870-0600",
"fax_number": "301-870-0609"
}
],
"practiceLocations": [
{
"address_1": "246 Pleasant St Ste 210",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033012548",
"country_code": "US",
"telephone_number": "603-224-5200",
"fax_number": "603-227-7559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-729-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONTANA",
"first_name": "DON",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NH",
"license": "22431",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "DC",
"license": "MD10918",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WI",
"license": "2909",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D0023431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD",
"identifier": "3282DJ",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.