Provider Demographics
NPI:1114003001
Name:MARNEJON, JANET GRIFFITH (DO)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:GRIFFITH
Last Name:MARNEJON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E STATE ROUTE 14
Mailing Address - Street 2:STE 102
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-8490
Mailing Address - Country:US
Mailing Address - Phone:330-482-2903
Mailing Address - Fax:330-482-3690
Practice Address - Street 1:225 E STATE ROUTE 14
Practice Address - Street 2:STE 102
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-8490
Practice Address - Country:US
Practice Address - Phone:330-482-2903
Practice Address - Fax:330-482-3690
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.004937207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH315070OtherMEDICARE PTAN
OH0802171Medicaid