MARATHON HEALTH, INC. (NPI# 1033412903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033412903 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH, INC. |
| Other Organization Name | MARATHON HEALTH AT DRS W. HIBISCUS |
| Practice Address |
1110 W Hibiscus Blvd Melbourne FL 32901-2704 |
| Mailing Address |
354 Mountain View Dr Suite 300 Colchester VT 05446-5968 |
| Practice Telephone | 3213090565 |
| Practice Fax Number | 3213090567 |
| Mailing Telephone | 8028570400 |
| Mailing Fax Number | 8026553607 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | MR. JERRY M FORD (CEO) |
| Authorized Official Telephone | 8028570400 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARATHON HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 60 4021 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Marathon Health at DRS w. Hibiscus | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861842155 | Marathon Health, Inc. | Nurse Practitioner | 801 Meadows Rd Ste 102, C/o Brrh Employee Health Center, Boca Raton, FL 33486-2346 | 2016-06-16 |
| 1649629478 | Marathon Health, Inc. | General Practice | 108 West 17th Street, C/o Cargill Employee Health Center, Schuyler, NE 68661-1304 | 2016-06-13 |
| 1699149559 | Marathon Health, Inc. | Nurse Practitioner | 2530 W Broadway St, C/o Boar's Head Employee Health Center, Forrest City, AR 72335-4403 | 2015-11-16 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
| 1598176455 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 121 S 13th St, C/o Nelnet Health Center, Lincoln, NE 68508-1904 | 2014-05-14 |
| 1598180226 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 3655 Nw 87th Ave, C/o Carnival Health Center, Doral, FL 33178-2418 | 2014-03-05 |
| 1023451143 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 4400 Highway 30 E, C/o Baldwin Filters Health Center, Kearney, NE 68847-9797 | 2013-04-08 |
| 1861795734 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 100 N Babcock St, Melbourne, FL 32935-6715 | 2010-12-14 |
| 1356883771 | Marathon Health, Inc. | General Practice | 2694 Judge Fran Jamieson Way, C/o Brevard Wellcare- Central, Melbourne, FL 32940 | 2016-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARATHON HEALTH, INC. | 20 Winooski Falls Way, Suite 400, Winooski, Vermont 05404 |
| Vermont Business Registrations | MARATHON HEALTH, INC. | 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 |
| Oregon Corporations, Companies and Business Names | MARATHON HEALTH, INC. | 20 Winooski Falls Way Ste 400, Winooski, VT 5404 |
| Street Address |
1110 W HIBISCUS BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861795734 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 100 N Babcock St, Melbourne, FL 32935-6715 | 2010-12-14 |
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|---|---|---|---|---|
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| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.