MARATHON HEALTH LLC (NPI# 1194358168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194358168 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH LLC |
| Other Organization Name | NEW BALANCE NORRIDGEWOCK |
| Practice Address |
20 Depot St Norridgewock ME 04957-3952 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 2076341250 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| 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 |
|---|---|
| New Balance Norridgewock | Other Name - Individual/Organization |
| New Balance Norway | Other Name - Individual/Organization |
| New Balance Skowhegan | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 Walnut St, Skowhegan, ME 049761514 | 2078586540 | |
| 72 Cottage St, Norway, ME 042686012 | 2077444240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473588 | Marathon Health LLC | Family Medicine | 2257 N Baylen St, Pensacola, FL 32501-1703 | 2020-09-24 |
| 1073147138 | Marathon Health LLC | Nurse Practitioner | 20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239 | 2020-02-27 |
| 1568095446 | Marathon Health LLC | Nurse Practitioner | 131 Cliff Rd, Dothan, AL 36303-5415 | 2020-02-19 |
| 1407489479 | Marathon Health LLC | Nurse Practitioner | 152 Ipsco St, Decatur, AL 35601-7412 | 2020-02-19 |
| 1265065247 | Marathon Health LLC | Physician Assistant | 1660 Electric Ln, Fort Myers, FL 33917-3946 | 2020-02-18 |
| 1992338982 | Marathon Health LLC | Nurse Practitioner | 2016 Weisenborn Rd, Saint Joseph, MO 64507-2537 | 2020-02-18 |
| 1245863232 | Marathon Health LLC | General Practice | 580 State Road 206 W, Saint Augustine, FL 32086-7968 | 2020-02-18 |
| 1730712712 | Marathon Health LLC | Physician Assistant | 7575 Northcliff Ave Ste 403, Brooklyn, OH 44144-3266 | 2020-02-18 |
| 1548892961 | Marathon Health LLC | General Practice | 3740 International Golf Pkwy Ste 100, St Augustine, FL 32092-0665 | 2020-02-05 |
| 1245719624 | Marathon Health LLC | Nurse Practitioner | 248 E Capitol St Ste 105, Jackson, MS 39201-2503 | 2018-08-07 |
| Street Address |
20 DEPOT ST |
| City | NORRIDGEWOCK |
| State | ME |
| Zip Code | 04957-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194849380 | Kristie L Knapp | Nurse Practitioner | 20 Depot St, Norridgewock, ME 04957-3952 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559017 | Patricia Ann Waite | Social Worker | 216 River Road, Norridgewock, ME 04957 | 2005-12-19 |
| 1508351560 | Jamiee Lynn Allen | Registered Nurse | 87 Mercer Rd, Norridgewock, ME 04957 | 2018-06-22 |
| 1902990989 | Henry Thomas Perry | Nurse Anesthetist, Certified Registered | 739 Sandy River Rd., Norridgewock, ME 04957-0342 | 2006-10-03 |
| 1407930068 | Kenneth John Baker | General Practice | 25 Main St, Norridgewock, ME 04957-0418 | 2006-10-24 |
| 1194196279 | Geri Harkins | Dental Hygienist | 191 Wilder Hill Rd, Norridgewock, ME 04957-3156 | 2015-10-14 |
| 1982647764 | Emily Trask-eaton | Family Medicine | 87 Mercer Rd, Norridgewock, ME 04957-3168 | 2006-06-13 |
| 1215459029 | Natasha Lantz | Family Medicine | 87 Mercer Rd, Norridgewock, ME 04957-3168 | 2017-07-13 |
| 1144678970 | Sarah M Tomasz | Family Medicine | 87 Mercer Rd, Norridgewock, ME 04957-3168 | 2016-06-02 |
| 1659669711 | Megan J Bell | Nurse Practitioner | 87 Mercer Rd, Norridgewock, ME 04957-3168 | 2011-07-11 |
| 1306051123 | David Samuel Axelman | Family Medicine | 40 Parlin Dr, Norridgewock, ME 04957-3428 | 2007-05-14 |
| Find all providers in zip 04957 | ||||
| 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 |
|---|---|---|---|---|
| 1659669711 | Megan J Bell | Nurse Practitioner | 87 Mercer Rd, Norridgewock, ME 04957-3168 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1083227664 | Brittany Ann Bennett | Nurse Practitioner | 55 Irwins Way, Otisfield, ME 04270-7221 | 2020-08-25 |
| 1619590247 | Meghan Chenausky | Nurse Practitioner | Pchcenter, 1012 Union Street, Bangor, ME 04401-3060 | 2020-05-18 |
| 1093363947 | Victoria Friedman | Nurse Practitioner | 60 High St Ste Y1, Lewiston, ME 04240-7616 | 2019-09-03 |
| 1558855494 | Karin Mcdonald | Nurse Practitioner | 116 Northport Ave Ste 112, Belfast, ME 04915-6096 | 2018-06-14 |
| 1588156111 | Kathryn Landry | Nurse Practitioner | 77 Bates St Ste 302, Lewiston, ME 04240-7637 | 2018-05-30 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1417482936 | Laura Jean Bickford | Nurse Practitioner | 43 Sokokis Trl, East Waterboro, ME 04030-5400 | 2017-04-21 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1265887921 | Andrea Berry | Nurse Practitioner | 51 Us Route 1 Ste I, Scarborough, ME 04074-7145 | 2016-05-02 |
| Find all providers with the same taxonomy | ||||
| City | NORRIDGEWOCK |
| Zip Code | 04957 |
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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.