Mark R Magnusson

M.D. | Pediatrics | Male

Mark R Magnusson, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mark R Magnusson is 3401 Civic Center Blvd, Children's Hospital Of Phila - General Pediatrics, Philadelphia, Pennsylvania - 19104-4319. He can be contacted on phone at 215-590-2164 and fax number 215-590-2180. Mark R Magnusson is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark R Magnusson is 1285658658 which was assigned by NPPES on 27 Jul, 2006 and it was last updated on 18 Apr, 2013. Mark R Magnusson license number is MD039119E for Pediatrics (208000000X) in Pennsylvania.
Mark R Magnusson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark R Magnusson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mark R Magnusson
Credential :M.D.
Gender :Male
Business Address:
Mark R Magnusson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :3401 Civic Center Blvd, Children's Hospital Of Phila - General Pediatrics
Philadelphia, PA, 19104-4319
United States
Phone Number :215-590-2164
Fax Number :215-590-2180
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1285658658
NPI Entity Type : Individual
First Enrolment Date : 27 Jul, 2006
Last Updated On : 18 Apr, 2013
Medicare Participation:
Mark R Magnusson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :0042437469
Medicare Enrollment ID :I20140808000492
Primary Specialty :Pediatric Medicine
Medical School :University Of Washington School Of Medicine
Graduation Year :1985
Accepts Medicare?Yes. Mark R Magnusson accepts medicare insurance.
Group Practice Association:
Mark R Magnusson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark R Magnusson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Childrens Health Care Associates Inc13552535271723401 Civic Ctr Blvd
Philadelphia, PA - 191044319
Ph: 2155901000
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark R Magnusson are as mentioned. Primary taxonomy code for Mark R Magnusson, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesMD039119EPA
Legacy Identifiers:
Other legacy medical identifiers of Mark R Magnusson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
001162792MEDICAIDPA
0171905MEDICAIDNJ
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :100 E Penn Sq, 9th Floor
Philadelphia, PA, 19107-3323
United States
Phone Number :267-425-9232
Fax Number :267-425-9299
Business Location:
Patients can refer following map for directions to Mark R Magnusson practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.