Organization Active NPI

Don J. Fontana, M.D. PA

  • Plastic Surgery Physician
  • Waldorf, MD
National Provider Identifier
1831493022
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0023431 Issued in MD
Legal business name
DON J. FONTANA, M.D. PA
Practice address
3500 Old Washington Rd
Suite 201
Waldorf, MD 20602-3238
Phone
(301) 870-0600
Fax
(301) 870-0609
NPI assigned
Jan 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Don Fontana, M.D.
Title
President
Phone
(301) 870-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

6420 Rockledge Dr
Ste 602
Bethesda, MD 20817

3500 Old Washington Rd
Ste 201
Waldorf, MD 20602
Phone (301) 396-2003

NPI Registry JSON

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1831493022",
    "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": [],
    "basic": {
        "organization_name": "DON J. FONTANA, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-01",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-870-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0023431",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.