Active NPI
Dusten Malcolm Macdonald, M.D.
- Radiation Oncology Physician
- Joint Base Lewis McChord, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2006009929
- Practice address
- Madigan Army Medical Ctr
9040 Fitzsimmons Drive
Joint Base Lewis McChord, WA 98431-1100 - Phone
- (253) 968-2133
- NPI assigned
- Sep 20, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 144677 | CA | |
| Radiation Oncology Physician | 2085R0001X | 60430276 | WA | |
| Radiation Oncology Physician | 2085R0001X | 12777 | ID | |
| Radiation Oncology Physician | 2085R0001X | 2006009929 | MO | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Fitzsimmons Drive
Joint Base Lewis McChord, WA 98431-1100
Mailing address
2700 Dolbeer St
9040 Fitzsimmons Drive
Eureka, CA 95501-4736
Phone (707) 269-4229
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmacdonald1657996@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Medical College of Wisconsin, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 269-4229
Hospital & facility affiliations
- Providence St Joseph Hospital
- Mad River Community Hospital
- Sutter Coast Hospital
- Adventist Health Ukiah Valley
- Providence Redwood Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144677 | CA | MD | Radiation Oncology Physician |
| 12777 | ID | MD | Radiation Oncology Physician |
| 2006009929 | MO | MD | Radiation Oncology Physician |
| 60430276 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Eureka Radiation Oncology Consultants | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients |
Locations
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
2700 Dolbeer St
#9040
Eureka, CA 95501
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Organizations & group practices 5
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.
-
- Radiation Therapy Radiologic Technologist
- Eureka, CA
- NPI 1043952492
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcata, CA
- NPI 1518996040
-
- Critical Access Hospital
- Fortuna, CA
- NPI 1043292303
-
- Critical Access Hospital
- Fortuna, CA
- NPI 1285849026
-
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1467550012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 DOLBEER ST",
"address_2": "9040 FITZSIMMONS DRIVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014736",
"telephone_number": "707-269-4229",
"fax_number": "707-269-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 FITZSIMMONS DRIVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "DUSTEN",
"middle_name": "MALCOLM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "144677",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "60430276",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "ID",
"license": "12777",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MO",
"license": "2006009929",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmacdonald1657996@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2700 Dolbeer St",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955014736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.