MASON ANDY TATRO DO
NPI 1528815974
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since May 03, 2024PECOS Enrolled
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mason Andy Tatro Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON ANDY TATRO DO (NPI 1528815974) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (58.034273) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1528815974
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMASON ANDY TATROCredential: DO
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001
Mailing Address1100 E Fork RdLower Salem, OH 45745-8913 · (740) 538-4025
Sole ProprietorYes
Enumeration DateMay 3, 2024
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1528815974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · 58.034273
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 EUCLID AVE # JJ24, Cleveland, OH 44195

Secondary Practice Location 1

Location 12600 Sixth St SWCanton, OH 44710-1702 · Phone (330) 452-9911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mason Andy Tatro Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Tatro's NPI number?

The NPI number for Mason Tatro is 1528815974. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Mason Tatro located?

Mason Tatro practices at 9500 Euclid Ave # Jj24, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Mason Tatro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mason Tatro enrolled in Medicare?

Yes. Mason Tatro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mason Tatro was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.