NPIMap

Organization Active NPI

Marathon Health, Inc.

  • General Practice Physician
  • Pensacola, FL
National Provider Identifier
1285077305
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARATHON HEALTH, INC.
Practice address
915 E Fairfield Dr
C/O Escambia County Health Center
Pensacola, FL 32503-2816
Phone
(850) 595-0099
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MARATHON HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

915 E Fairfield Dr
C/O Escambia County Health Center
Pensacola, FL 32503-2816

Mailing address

20 Winooski Falls Way
Suite 400
Winooski, VT 05404-2228
Phone (802) 857-0400

Other names 1

  • Marathon Health at Escambia Other name

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health Inc166 organizations share this tax ID, including this one
Part of
Marathon Health Inc

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1285077305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY",
            "address_2": "SUITE 400",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042228",
            "telephone_number": "802-857-0400",
            "fax_number": "802-857-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E FAIRFIELD DR",
            "address_2": "C/O ESCAMBIA COUNTY HEALTH CENTER",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032816",
            "telephone_number": "850-595-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH, INC.",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "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": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Health at Escambia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.