Provider Demographics
NPI:1659244333
Name:GIANGARRA, MARSHA RAE
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:RAE
Last Name:GIANGARRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 CHRYSANN DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2140
Mailing Address - Country:US
Mailing Address - Phone:216-278-2458
Mailing Address - Fax:
Practice Address - Street 1:725 OHIO AVE
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:OH
Practice Address - Zip Code:44437-1835
Practice Address - Country:US
Practice Address - Phone:216-278-2458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X, 172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker