MARATHON HEALTH LLC (NPI# 1265065247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265065247 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH LLC |
| Practice Address |
1660 Electric Ln Fort Myers FL 33917-3946 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 2396562362 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| LCEC | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| Street Address |
1660 ELECTRIC LN |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33917-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423070 | Lisa Marie Ortiz-rivera | Registered Nurse | 15150 Piping Plover Ct 103, North Fort Myers, FL 33917 | 2019-05-21 |
| 1407124571 | Lorne Kevin Howell | Custodial Care Facility | 6410 Pga Drive, North Fort Myers, FL 33917 | 2011-12-05 |
| 1124267026 | Mary Christine Gatens | Social Worker | 2108 Lakeville, Fort Myers, FL 33917 | 2009-02-17 |
| 1417143496 | Pine Island Chiropractic Inc | Chiropractor | 5781 Bayshore Road, #103, North Fort Myers, FL 33917 | 2007-09-24 |
| 1427030253 | Florida Preferred Care Developmental Centers I, Inc. | Intermediate Care Facility, Mentally Retarded | 2975 Garden St, N Ft Myers, FL 33917-1883 | 2005-11-17 |
| 1043323934 | Florida Preferred Care Developmental Centers I, Inc | Intermediate Care Facility, Mentally Retarded | 2975 Garden St, North Fort Myers, FL 33917-1883 | 2006-08-16 |
| 1174138176 | Claudia Rodriguez | Massage Therapist | 7728 Mcdaniel Dr, North Fort Myers, FL 33917-1930 | 2020-09-15 |
| 1760092605 | Michael Patrick Durham | Nurse Practitioner | 17501 Wells Rd, North Fort Myers, FL 33917-2108 | 2020-08-05 |
| 1043596521 | Kim Theresa Traugott | Veterinarian | 17740 Sabal Palm Dr, North Fort Myers, FL 33917-2219 | 2011-10-27 |
| 1336687573 | Luke Balkun | Behavior Technician | 2262 Westwood Rd, N Fort Myers, FL 33917-2536 | 2017-02-08 |
| Find all providers in zip 33917 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1811597198 | Alexis Thraen | Physician Assistant | 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 | 2020-10-27 |
| 1710510813 | Noshaba Khaliq | Physician Assistant | 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138 | 2020-02-17 |
| 1699307389 | Colleen Mcgonagle | Physician Assistant | 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 | 2020-02-10 |
| 1922643238 | Abigail Christine Reed | Physician Assistant | 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 | 2019-11-11 |
| 1245899756 | Aileen Fiallo | Physician Assistant | 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 | 2019-06-08 |
| 1316422199 | Angelia Lynette Sakyi-agyekum | Physician Assistant | 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 | 2018-09-27 |
| 1225547029 | Irene Julian | Physician Assistant | 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 | 2017-09-25 |
| 1134653827 | Matthew Jeremy Blakemore | Physician Assistant | 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367 | 2017-04-19 |
| 1598206633 | Stina Rosanna Mckenna | Physician Assistant | 8381 Riverwalk Park Blvd Ste 201, Fort Myers, FL 33919-8760 | 2017-03-08 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33917 |
Please comment or provide details below to improve the information on MARATHON HEALTH LLC.
| 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.