MEDICARE: MR. GERALD E MARSH C.R.N.A.

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	367500000X	Certified Registered Nurse Anesthetist	028918	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
2	000000263786	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1831233691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERALD E MARSH C.R.N.A.

Provider Business Mailing Address
First Line	:	2349 ARDLEIGH DR
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44106-3140
Country	:	US
Telephone Number	:	216-346-6742
Fax Number	:	216-928-0141

Provider Business Practice Location Address
First Line	:	2349 ARDLEIGH DR
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44106-3140
Country	:	US
Telephone Number	:	216-346-6742
Fax Number	:	216-928-0141

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	02/16/2026

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Directions to “ MR. GERALD E MARSH C.R.N.A.” Practice Location

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