Provider Demographics
NPI:1255312468
Name:MARSHALL, CYRIL E (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRIL
Middle Name:E
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5706 TURNEY RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3971
Mailing Address - Country:US
Mailing Address - Phone:216-332-0887
Mailing Address - Fax:216-332-0875
Practice Address - Street 1:5706 TURNEY RD
Practice Address - Street 2:SUITE 107
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3971
Practice Address - Country:US
Practice Address - Phone:216-332-0887
Practice Address - Fax:216-332-0875
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034440M207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184796Medicaid
OH017474001Medicare PIN
OHC00954Medicare UPIN
OH0184796Medicaid