Organization Active NPI

Marathon Medical, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
National Provider Identifier
1326657495
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MARATHON MEDICAL, LLC
Practice address
539 Windsor Park Dr
Dayton, OH 45459-4112
Phone
(937) 589-2277
Fax
(937) 502-3877
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Ashley OnyiaNPI 1154963635
Title
Ceo
Phone
(937) 589-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

539 Windsor Park Dr
Dayton, OH 45459-4112

Mailing address

539 Windsor Park Dr
Dayton, OH 45459-4112
Phone (937) 589-2277

National Provider Directory

National Provider Directory
Tax ID family
Marathon Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

539 Windsor Park Dr
Dayton, OH 45459
Phone (937) 409-6156

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": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1326657495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 WINDSOR PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-589-2277",
            "fax_number": "937-502-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 WINDSOR PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-589-2277",
            "fax_number": "937-502-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "ONYIA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-589-2277"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.