| Robert J Magro, MD | |
| 
					9485 Mentor Ave Ste 101, Mentor, OH 44060-8722  | |
| (440) 205-5800 | |
| (440) 205-5801 | 
| Full Name | Robert J Magro | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 9485 Mentor Ave Ste 101, Mentor, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811003148 | NPI | - | NPPES | 
| 0913211 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35-061627 (Ohio) | Primary | 
| Entity Name | Dhhs Phs Ihs Phoenix Area | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265719918 PECOS PAC ID: 2668647108 Enrollment ID: O20111212000142  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert J Magro, MD 7590 Auburn Road, Suite 014, Attn: Med Staff, Concord Twp, OH 44077-9176 Ph: (440) 354-1899  | Robert J Magro, MD 9485 Mentor Ave Ste 101, Mentor, OH 44060-8722 Ph: (440) 205-5800  | 
Briana Lynn Andres, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7060 Wayside Dr, Mentor, OH 44060 Phone: 440-357-2770  | |
Diane M Lester, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9485 Mentor Avenue, 101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801  | |
Barbara L Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Avenue, #101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801  | |
Joy Ertel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173  | |
Nancy L Albanese, CNP Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481  | |
Laura A. Cifra-bean, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9485 Mentor Ave, #101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801  | |
Jon D Kannensohn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173  |