Individual provider Active NPI

Donald Calebaugh, MD

  • Gastroenterology Physician
  • Pleasant Point, ME
National Provider Identifier
1598766404
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
223214 Issued in NY
Practice address
11 Back Rd
Pleasant Point, ME 04667-4119
Phone
(207) 853-0644
Fax
(207) 853-6230
NPI assigned
Aug 2, 2005
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 223214 NY Primary

Addresses

Primary practice location

11 Back Rd
Pleasant Point, ME 04667-4119

Mailing address

PO Box 351
Perry, ME 04667-0351
Phone (207) 853-0644

Other identifiers 1

IdentifierTypeStateIssuer
02194338MedicaidNY

Other names 1

  • Dr. Don Calebaugh Professional name

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
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1598766404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046670351",
            "telephone_number": "207-853-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BACK RD",
            "city": "PLEASANT POINT",
            "state": "ME",
            "postal_code": "046674119",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEBAUGH",
        "first_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "223214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02194338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "CALEBAUGH",
            "prefix": "DR.",
            "credential": "PHD/MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pleasant Point, ME

Sources for this page

Verify at the official NPI Registry.