Active NPI
Joy M Marshall, M.D.
- Family Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35062262
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135651 | Medicaid | OH | |
| 000000504232 | Other | OH | ANTHEM BC/BS |
| P00705956 | Other | OH | RRCARE |
| H62262 | Other | OH | APEX 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
Enrollment records 1
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
Practice addresses (Care Compare)
2401 Scranton Rd
Cleveland, OH 44113-4313
Phone (216) 363-7402
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35062262 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Dedicated Ohio Holding LLC | Current | Accepting new patients | |
| David Perse MD, LLC | Current | Accepting new patients | |
| Clinic Regional Physicians LLC | Family Medicine | Past | Accepting new patients |
| Jeremy Perse, DPM, LLC | Past | 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
- 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.
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Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.