Provider Demographics
NPI:1831233691
Name:MARSH, GERALD E (CRNA)
Entity type:Individual
Prefix:MR
First Name:GERALD
Middle Name:E
Last Name:MARSH
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2349 ARDLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3140
Mailing Address - Country:US
Mailing Address - Phone:216-346-6742
Mailing Address - Fax:216-928-0141
Practice Address - Street 1:2349 ARDLEIGH DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44106-3140
Practice Address - Country:US
Practice Address - Phone:216-346-6742
Practice Address - Fax:216-928-0141
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH028918367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2113813Medicaid
OH000000263786OtherANTHEM
OH8223966Medicare ID - Type Unspecified