Individual provider Active NPI

Michael Edward Marshall Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Garrettsville, OH
National Provider Identifier
1730539875
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003951 Issued in OH
Practice address
8307 Windham St # 2
Garrettsville, OH 44231-9578
Phone
(330) 527-4088
NPI assigned
Jun 20, 2016
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003951 OH Primary

Addresses

Primary practice location

8307 Windham St # 2
Garrettsville, OH 44231-9578

Mailing address

8307 Windham St # 2
Garrettsville, OH 44231-9578
Phone (330) 527-4088

Other practice location 1

365 Riffel Rd Ste A
Wooster, OH 44691-8592
Phone (330) 345-5500

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018002779 OH Practitioner - Podiatry 0547668824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey S Wunning DPM LLCGroup PAC ID 8224359674, 3 clinicians

Practice addresses (Care Compare)

365 Riffel Rd
Suite a
Wooster, OH 44691-8592
Phone (330) 345-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue77
Removal of skin lesions13
Removal of nail tissue357
Removal or shaving of skin growth50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003951OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Wunning, DPM, LLC Foot & Ankle Surgery CurrentSince Oct 13, 2021 Accepting new patients
Gentle Footcare LLC Foot & Ankle Surgery PastSince Jan 4, 2026 Accepting new patients

Locations

365 Riffel Rd
Ste A
Wooster, OH 44691
Phone (330) 345-5500

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1730539875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 WINDHAM ST # 2",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319578",
            "telephone_number": "330-527-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 WINDHAM ST # 2",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319578",
            "telephone_number": "330-527-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Riffel Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446918592",
            "country_code": "US",
            "telephone_number": "330-345-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrettsville, OH

Sources for this page

Verify at the official NPI Registry.