MARATHON HEALTH, LLC (NPI# 1932755956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932755956 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH, LLC |
| Practice Address |
81 E Broadway St Jackson OH 45640 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 7404694770 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| 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 |
|---|---|
| Bellisio Health Center for Marathon Health | 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 |
| 1093376840 | Marathon Health, LLC | Nurse Practitioner | 807 Cherokee Dr Ste 5, Marshall, MO 65340-1690 | 2019-06-24 |
| 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 |
| 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 |
81 E BROADWAY ST |
| City | JACKSON |
| State | OH |
| Zip Code | 45640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| 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 |
|---|---|---|---|---|
| 1093332546 | Jaleesa Atkins | Nurse Practitioner | 4266 Springbrook Rd, Jackson, MI 49201-9716 | 2020-07-01 |
| 1457983785 | Amos N Macharia | Nurse Practitioner | 2130 Ridge Rd, Jackson, MO 63755-1612 | 2020-02-05 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1851934723 | Hannah Louise Keel | Nurse Practitioner | 623 Gettysburg Dr, Jackson, TN 38305-7886 | 2019-10-23 |
| 1013559186 | Kirsten Siler | Nurse Practitioner | 27a Medical Center Drive, Jackson, TN 38301-3949 | 2019-10-10 |
| 1801447693 | Milestone Primary Care House Calls, LLC | Nurse Practitioner | 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131 | 2019-09-24 |
| 1750855870 | Michael L Chesney | Nurse Practitioner | 6055 Jordan Rd, Jackson, MI 49201-9580 | 2019-01-12 |
| 1609356500 | Angela Sophia Mcreynolds | Nurse Practitioner | 2500 N State St Rm S347, Jackson, MS 39216-4500 | 2018-08-20 |
| 1679050132 | Alicia Faye Green | Nurse Practitioner | 908 Bella Vista Dr, Jackson, MO 63755-7863 | 2018-07-26 |
| 1982119228 | Felix Taylor | Nurse Practitioner | 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 | 2017-12-08 |
| Find all providers in JACKSON | ||||
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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.