MARATHON HEALTH LLC (NPI# 1770114175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770114175 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH LLC |
| Practice Address |
3431 Aviation Rd Ste 140 Lincoln NE 68524-1800 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 4022619287 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| 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 |
|---|---|
| Duncan Lincoln Health Center | 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 |
| 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 |
3431 AVIATION RD STE 140 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68524-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336253897 | Ingrid Olson | Physician Assistant | 3431 Aviation Rd Ste 140, Lincoln, NE 68524-1800 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396037875 | Nebraska Urgent Care Clinic, LLC | Family Medicine | 4720 W Huntington Ave, Lincoln, NE 68524-1528 | 2011-05-03 |
| 1679661458 | Brenda Ann Ruhrer | Registered Nurse | 2601 Nw 25th St, Lincoln, NE 68524-1890 | 2006-10-10 |
| 1215022017 | Nebraska National Guard | Clinic/Center | 2400 Nw 24th St, Lincoln, NE 68524-1892 | 2006-10-04 |
| 1164054144 | James Lavicky | Specialist/Technologist | 5340 W Aurora St, Lincoln, NE 68524-2159 | 2020-02-07 |
| 1679016604 | Amanda J Kurtenbach | Occupational Therapist | 4200 W Billy Ct, Lincoln, NE 68524-6046 | 2016-11-22 |
| 1942631791 | Connie King | Dental Hygienist | 4101 W Leighton Ave, Lincoln, NE 68524-6051 | 2013-12-04 |
| 1760808943 | Randy Leroy Fox | Pharmacist | 5150 W Fletcher Ave, Lincoln, NE 68524-8957 | 2014-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033245 | Janet Sue Buck | Dietitian, Registered | 4105 Y St, Lincoln, NE 68503-2160 | 2020-11-05 |
| 1588265128 | Therapeutic Solutions, LLC | Social Worker | 16 Lladnar Dr, Lincoln, RI 02865-4013 | 2020-11-02 |
| 1093316556 | Jamie Rose Liebentritt | Social Worker | 2300 S 16th St Ste 201, Lincoln, NE 68502-3704 | 2020-11-02 |
| 1346840154 | Eric Michael Lis | Technician | 24 Mcginnis Way, Lincoln, ND 58504-9303 | 2020-10-30 |
| 1649870734 | Leeann Wojnowski Horner | Social Worker | 125 Winter St, Lincoln, MA 01773-3501 | 2020-10-28 |
| 1780283358 | Marolynn Faye Lesmeister | Technician | 15 Custer Dr, Lincoln, ND 58504-9149 | 2020-10-23 |
| 1063011641 | Annie Beach | Psychologist | 22314 Raven Cir, Lincoln, DE 19960-4027 | 2020-10-23 |
| 1376142075 | Julie Danette Bauer | Technician | 76 Weir Dr, Lincoln, ND 58504-9199 | 2020-10-22 |
| 1265030647 | Anthony Meyer | Audiologist-Hearing Aid Fitter | 6140 Village Dr Ste 1, Lincoln, NE 68516-3521 | 2020-10-16 |
| 1326646951 | Trudy L Hogue | Technician | 12 Gibbons Dr, Lincoln, ND 58504-9167 | 2020-10-15 |
| Find all providers in LINCOLN | ||||
| 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 |
|---|---|---|---|---|
| 1619580156 | Alana M Oster | Physician Assistant | 129 Chapel St, Lincoln, RI 02865-2119 | 2020-08-25 |
| 1871143891 | Ashley Moreau | Physician Assistant | 4 Lauretta Ln, Lincoln, RI 02865-1338 | 2019-09-12 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
| 1629535521 | Jason Theodore | Physician Assistant | 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973 | 2019-02-27 |
| 1144674276 | Austin Bryce Henslee | Physician Assistant | 575 S 70th St Ste 310, Lincoln, NE 68510 | 2016-04-14 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1942542790 | Linda Denise Corr | Physician Assistant | 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 | 2013-03-20 |
| 1669734794 | Kimberly Kathryn Piening | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2012-06-14 |
| 1548521933 | Terumi Degraw | Physician Assistant | 1715 S 26th St, Lincoln, NE 68502-3061 | 2012-06-02 |
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| Find all providers in LINCOLN | ||||
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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.