Organization Active NPI

Marathon Ventures Corp

  • Durable Medical Equipment & Medical Supplies
  • Towson, MD
National Provider Identifier
1053057950
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARATHON VENTURES CORP
Practice address
21 West Rd Ste 105
Towson, MD 21204-2307
Phone
(855) 343-7799
Fax
(866) 343-9465
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Roberson
Title
Cco
Phone
(480) 528-2609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

21 West Rd Ste 105
Towson, MD 21204-2307

Mailing address

21 West Rd Ste 105
Towson, MD 21204-2307
Phone (855) 343-7799

Other names 1

  • Marathon Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708000270 MD DME Supplier - Medical Supply Company 0941680938 Practice locations: Towson, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marathon Ventures Corp.21 West Rd, Towson, MD 21204-2307(855) 343-7799 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since Jun 23, 2022

National Provider Directory

National Provider Directory

Locations

90 Painters Mill Rd
Owings Mills, MD 21117
Phone (410) 356-3383

21 West Rd
Ste 105
Towson, MD 21204
Phone (410) 823-9333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1053057950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST RD STE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042307",
            "telephone_number": "855-343-7799",
            "fax_number": "866-258-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WEST RD STE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042307",
            "telephone_number": "855-343-7799",
            "fax_number": "866-343-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON VENTURES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "480-528-2609"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.