Active NPI
Gagnon Oncology, LLC
- Radiation Oncology Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D0039954
- Legal business name
- GAGNON ONCOLOGY, LLC
- Practice address
- 1562 Opossumtown Pike
Frederick, MD 21702-4920 - Phone
- (240) 566-4500
- Fax
- (301) 694-5554
- NPI assigned
- Jan 24, 2012
- Organization subpart
- Yes
- Parent organization
- GAGNON ONCOLOGY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynda D Losecco
- Title
- Administrator
- Phone
- (607) 324-2340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D0039954 | MD | Primary |
Addresses
Primary practice location
1562 Opossumtown Pike
Frederick, MD 21702-4920
Mailing address
111 Loder St Ste B
Hornell, NY 14843-1950
Phone (888) 465-5278
Other practice location 1
11110 Medical Campus Rd Ste 129
Hagerstown, MD 21742-6799
Phone (301) 665-4650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 758511000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120228000537 | MD | Part B Supplier - Clinic/Group Practice | 5496913030 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Mount Airy, MD; Hagerstown, MD; Frederick, MD |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Gagnon Oncology LLC
- Part of
- Gagnon Oncology LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiation Oncology Physician
- Hagerstown, MD
- NPI 1568270619
Locations
501 W 7th St
Ste 2
Frederick, MD 21701
Phone (240) 566-4500
501 W 7th St
Ste C
Frederick, MD 21701
11110 Medical Campus Rd
Ste 129
Hagerstown, MD 21742
Phone (301) 665-4650
111 Loder St
#B
Hornell, NY 14843
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Frederick, MD
- NPI 1407854268
-
- Radiation Oncology Physician
- Frederick, MD
- NPI 1720386469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1376814293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LODER ST STE B",
"city": "HORNELL",
"state": "NY",
"postal_code": "148431950",
"telephone_number": "888-465-5278",
"fax_number": "607-324-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 OPOSSUMTOWN PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024920",
"telephone_number": "240-566-4500",
"fax_number": "301-694-5554"
}
],
"practiceLocations": [
{
"address_1": "11110 Medical Campus Rd Ste 129",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426799",
"country_code": "US",
"telephone_number": "301-665-4650",
"fax_number": "301-665-4648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GAGNON ONCOLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GAGNON ONCOLOGY, LLC",
"enumeration_date": "2012-01-24",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "LOSECCO",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "607-324-2340"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0039954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "758511000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.