Active NPI
Marathon Health, LLC
- Primary Care Clinic/Center
- Enid, OK
National Provider Identifier
1275361438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MARATHON HEALTH, LLC
- Practice address
- 915 E Owen K Garriott Rd Ste E
Enid, OK 73701-6153 - Phone
- (866) 434-3255
- NPI assigned
- Jul 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Wells, MD
- Title
- Ceo
- Phone
- (866) 434-3255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
915 E Owen K Garriott Rd Ste E
Enid, OK 73701-6153
Mailing address
10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (866) 434-3255
Other names 1
- Tyson Enid
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 |
|---|---|---|---|
| 37D2308657 | Tyson Enid | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Marathon Health LLC
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1033903265
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1679102529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1275361438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 W MARKET ST STE 2900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042964",
"telephone_number": "866-434-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E OWEN K GARRIOTT RD STE E",
"city": "ENID",
"state": "OK",
"postal_code": "737016153",
"telephone_number": "866-434-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-21",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-434-3255",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tyson Enid",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.