Active NPI
Marathon Health LLC
- Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1215560297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MARATHON HEALTH LLC
- Practice address
- 600 W E St
Lincoln, NE 68522-1329 - Phone
- (402) 473-4370
- NPI assigned
- Feb 18, 2020
- Last updated
- Feb 18, 2020
- Organization subpart
- Yes
- Parent organization
- MARATHON HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Ford
- Title
- Ceo
- Phone
- (802) 857-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
600 W E St
Lincoln, NE 68522-1329
Mailing address
PO Box 5
Winooski, VT 05404-0005
Other names 1
- Lincoln Industries
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2284836 | Lincoln Industries | Certificate of waiver | Jun 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Marathon Health Inc
- Part of
- Marathon Health Inc
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Physician Assistant
- Lincoln, NE
- NPI 1770114175
-
- Physician Assistant
- Kearney, NE
- NPI 1023451143
-
- General Practice Physician
- Schuyler, NE
- NPI 1649629478
-
- General Practice Physician
- Nebraska City, NE
- NPI 1265988554
Locations
600 W E St
Lincoln, NE 68522
Phone (402) 473-4370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1215560297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054040005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W E ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221329",
"telephone_number": "402-473-4370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARATHON HEALTH LLC",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "802-857-0400"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lincoln Industries",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.