MARATHON HEALTH, LLC (NPI# 1093376840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093376840 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH, LLC |
| Practice Address |
807 Cherokee Dr Ste 5 Marshall MO 65340-1690 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 6602024227 |
| Mailing Telephone | 8028570400 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | JERRY FORD (CEO) |
| Authorized Official Telephone | 8028570400 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARATHON HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Marathon Health Cargill at Marshall, MO | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292068 | Marathon Health, LLC | Family Medicine | 15745 S Airport Rd Bldg D, Battle Creek, MI 49015-8670 | 2019-08-27 |
| 1033773544 | Marathon Health, LLC | Nurse Practitioner | 1930 S State St, Salt Lake City, UT 84115-2311 | 2019-04-30 |
| 1881167245 | Marathon Health, LLC | Physician Assistant | 284 Roost Ave, Holland, MI 49424-2032 | 2019-01-09 |
| 1639640527 | Marathon Health, LLC | Nurse Practitioner | 3880 Willowood Ave, Springdale, AR 72762-2774 | 2018-12-17 |
| 1952827818 | Marathon Health, LLC | Nurse Practitioner | 4700 Exchange Ct, Boca Raton, FL 33431-4450 | 2017-08-22 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1598306656 | Marathon Health, LLC | Nurse Practitioner | 1515 June Ave, Panama City, FL 32405-3759 | 2019-09-30 |
| 1932755956 | Marathon Health, LLC | Nurse Practitioner | 81 E Broadway St, Jackson, OH 45640 | 2019-08-15 |
| 1417511924 | Marathon Health, LLC | Nurse Practitioner | 725 Highway 142, Poplar Bluff, MO 63901-8159 | 2019-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARATHON HEALTH, LLC | 20 Winooski Falls Suite 400, Winooski, Vt 05404 |
| Colorado Business Entities | Marathon Health, LLC | 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 |
| Oregon Corporations, Companies and Business Names | MARATHON HEALTH, LLC | 20 Winooski Falls Way Ste 400, Winooski, VT 05404 |
| Street Address |
807 CHEROKEE DR STE 5 |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106753 | Lauren Gayle Ricossa | Nurse Practitioner | 2908 Fern Lake Cutoff, Marshall, TX 75672-1593 | 2019-10-21 |
| 1114410768 | Jennifer D. Eilola | Nurse Practitioner | 215 E Mansion St Ste 3c, Marshall, MI 49068-1167 | 2018-06-08 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1538681754 | Kimberly Calderon | Nurse Practitioner | 1900 S Washington Ave Ste E, Marshall, TX 75670-6845 | 2017-07-10 |
| 1801264965 | Jkb Surgical Associates Pllc | Nurse Practitioner | 915 Bergstrom Pl, Marshall, TX 75672-7607 | 2015-09-07 |
| 1447250733 | Jennifer Elizabeth Roth | Nurse Practitioner | 103 Azalea Way, Marshall, TX 75672-9265 | 2005-07-28 |
| 1093295719 | Oteka Jackson-cenales | Nurse Practitioner | 505 E Travis St Ste 112, Marshall, TX 75670-4280 | 2018-08-21 |
| 1770062804 | Kasey Myers | Nurse Practitioner | 1521 Carlson St, Marshall, MN 56258-2626 | 2018-08-09 |
| 1992216022 | Nefeli Anna Moutsoglou | Nurse Practitioner | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-10-16 |
| Find all providers in MARSHALL | ||||
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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.