Margret's Mastectomy Shoppe, LTD.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MARGRET'S MASTECTOMY SHOPPE, LTD.

Practice address

95 Arch St
Suite 205
Akron, OH 44304-1437

Phone

(330) 761-2700

Fax

(330) 761-2701

NPI assigned

Jun 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Anne Cianciola

Title

VP Operations

Phone

(330) 518-3703

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821033267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444060805",
            "telephone_number": "330-518-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "SUITE 205",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041437",
            "telephone_number": "330-761-2700",
            "fax_number": "330-761-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGRET'S MASTECTOMY SHOPPE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIANCIOLA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "330-518-3703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Marcucci, CRNA
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• Jennifer Christina Marcy, M.D.
• Shane Mares
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• Mary Mariani-Walker
• Meredith Mariani
• Sinukuan C. Mariano, MD
• Milanka Maric

• Prosthetic/Orthotic Supplier in Akron, OH
• Providers in Akron, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.