Marathon Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MARATHON HEALTH LLC

Practice address

7157 Ridge Rd
Hanover, MD 21076-1425

Phone

(443) 951-4804

NPI assigned

Feb 4, 2020

Organization subpart

Yes

Parent organization

MARATHON HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Jerr Ford

Title

Ceo

Phone

(802) 857-0400

Specialties & licenses 1

Addresses

Other names 1

• Laitram Hanover Health Center Other name

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

CLIA laboratory certificates

Tax ID family

Marathon Health LLC130 organizations share this tax ID, including this one

Part of

Marathon Health LLC

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.

• Marathon Health LLC

  • Primary Care Clinic/Center
  • Hagerstown, MD
  • NPI 1164292371
  NPD tax ID
• Marathon Health LLC

  • Nurse Practitioner
  • Salisbury, MD
  • NPI 1770324428
  NPD tax ID
• Marathon Health, LLC

  • Clinic/Center
  • Hughesville, MD
  • NPI 1093328148
  NPD tax ID
• Marathon Health, LLC

  • Family Medicine Physician
  • Capitol Heights, MD
  • NPI 1245992445
  NPD tax ID

Locations

Practitioners 1

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

• Molly Bierley

  • Family Nurse Practitioner
  • Hanover, MD
  • NPI 1255715926
  NPD

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1235760653",
    "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": "7157 RIDGE RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761425",
            "telephone_number": "443-951-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH LLC",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JERR",
        "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": "Laitram Hanover Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen Loreck
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• Sali Mahmoud, PHARMD
• Pamela Miranda Mahoney, AGNP
• Robert Alan Main III, DPT
• Sherry Martin
• Maryland CVS Pharmacy LLC
• Maryland Partnership for Prevention Inc
• Maryland Primary Care Physicians, LLC
• Maryland Primary Care Physicians, LLC

• Nurse Practitioner in Hanover, MD
• Providers in Hanover, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.