Robert Jay Magnon, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E6134 Issued in TX

Practice address

1303 McCullough Ave
Suite 525
San Antonio, TX 78212-5609

Phone

(210) 225-2769

Fax

(210) 225-7576

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical Branch at Galveston, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: rmagnon@seguindermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Ross Dermatology

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1134553019
  NPD (past)
• Skin Surgery of San Antonio, PA

  • MOHS-Micrographic Surgery Physician
  • San Antonio, TX
  • NPI 1568774735
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center Cardiology

  • Nursing Care Agency
  • Seguin, TX
  • NPI 1487674727

  Hospital

  Care Compare affiliation
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1720088123
  Care Compare affiliation
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Laurel

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1780529966
  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1013993096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 525",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-225-2769",
            "fax_number": "210-225-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 525",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-225-2769",
            "fax_number": "210-225-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNON",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E6134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115647301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115647302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Louise Magnabosco, M.D.
• Magno Solutions LLC
• Magnolia Medical & Aesthetics
• Magnolia Women's Care, P.L.L.C.
• Alexa Patricia Magnon, CPHT
• Michael Raynard Magoon, MD
• Chenoa Magott
• Garry W Magpily, FNP-BC
• Marissa Magramo
• Gabriel A Magraner, MD

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.