MEDICARE: DR. MARSHA S PAUL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35-07-2614-P	OH
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	35.072614	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366441511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHA S PAUL M.D.

Provider Business Mailing Address
First Line	:	30000 E RIVER RD
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-3429
Country	:	US
Telephone Number	:	419-931-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 S DETROIT AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1910
Country	:	US
Telephone Number	:	419-931-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	06/11/2025

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