Individual provider Active NPI

Joy M Marshall, M.D.

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1285722017
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35062262 Issued in OH
Practice address
13719 Lorain Ave
Cleveland, OH 44111-3439
Phone
(216) 307-3005
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-06-2262M OH
Family Medicine Physician 207Q00000X 35062262 OH Primary

Addresses

Primary practice location

13719 Lorain Ave
Cleveland, OH 44111-3439

Mailing address

13719 Lorain Ave
Cleveland, OH 44111-3439
Phone (216) 307-3005

Other identifiers 4

IdentifierTypeStateIssuer
0135651MedicaidOH
000000504232OtherOHANTHEM BC/BS
P00705956OtherOHRRCARE
H62262OtherOHAPEX SUMMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20050202000189 OH Practitioner - Family Practice 4880645381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Perse MD LLCGroup PAC ID 3577989482, 3 clinicians

Practice addresses (Care Compare)

2401 Scranton Rd
Cleveland, OH 44113-4313
Phone (216) 363-7402

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062262OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Dedicated Ohio Holding LLC CurrentSince Aug 2, 2020 Accepting new patients
David Perse MD, LLC CurrentSince Jun 2, 2025 Accepting new patients
Clinic Regional Physicians LLC Family Medicine Past Accepting new patients
Jeremy Perse, DPM, LLC PastSince Aug 2, 2020 Accepting new patients
Westshore Family Practice Inc Family Medicine Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

13719 Lorain Ave
Cleveland, OH 44111
Phone (216) 307-3005

2401 Scranton Rd
Cleveland, OH 44113
Phone (216) 284-3077

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

Interoperability endpoints

  • Direct secure messaging: jmarshall200669@direct.metrohealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1285722017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13719 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113439",
            "telephone_number": "216-307-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113439",
            "telephone_number": "216-307-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JOY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-2262M",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35062262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135651",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000504232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE",
            "identifier": "P00705956",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APEX SUMMA",
            "identifier": "H62262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.