Individual provider Active NPI

Donald G Magioncalda, MD

  • Medical Oncology Physician
  • Augusta, ME
National Provider Identifier
1851367429
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
09631 Issued in ME
Practice address
361 Old Belgrade Rd
Alfond Cancer Center
Augusta, ME 04330-8058
Phone
(207) 621-6100
Fax
(207) 621-6102
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 09631 ME
Medical Oncology Physician 207RX0202X 09631 ME Primary

Addresses

Primary practice location

361 Old Belgrade Rd
Alfond Cancer Center
Augusta, ME 04330-8058

Mailing address

361 Old Belgrade Rd
Alfond Cancer Center
Augusta, ME 04330-8058
Phone (207) 621-6100

Other identifiers 1

IdentifierTypeStateIssuer
294360099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09631MEMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1851367429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 OLD BELGRADE RD",
            "address_2": "ALFOND CANCER CENTER",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308058",
            "telephone_number": "207-621-6100",
            "fax_number": "207-621-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 OLD BELGRADE RD",
            "address_2": "ALFOND CANCER CENTER",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308058",
            "telephone_number": "207-621-6100",
            "fax_number": "207-621-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIONCALDA",
        "first_name": "DONALD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "09631",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ME",
            "license": "09631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294360099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.