Active NPI
Marathon Health, LLC
- Family Medicine Physician
- Battle Creek, MI
National Provider Identifier
1386292068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MARATHON HEALTH, LLC
- Practice address
- 15745 S Airport Rd BLDG D
Battle Creek, MI 49015-8670 - Phone
- (269) 565-3640
- NPI assigned
- Aug 27, 2019
- Last updated
- Aug 27, 2019
- 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
- Ms. Tracy Lord
- Title
- Designated Official
- Phone
- (802) 857-0420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
15745 S Airport Rd BLDG D
Battle Creek, MI 49015-8670
Mailing address
20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
Phone (802) 857-0420
National Provider Directory
National Provider Directory- Tax ID family
- Marathon Health LLC
- Part of
- Marathon Health LLC
Organizations with this tax ID in the same state 5
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Nurse Practitioner
- Kalamazoo, MI
- NPI 1104318369
-
- Clinic/Center
- Kalamazoo, MI
- NPI 1760160055
-
- Physician Assistant
- Holland, MI
- NPI 1881167245
Locations
15745 South Airport Rd
Bldg D
Battle Creek, MI 49015
Phone (269) 565-3640
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Jackson, MI
- NPI 1740911007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566864000000",
"number": "1386292068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WINOOSKI FALLS WAY STE 400",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054042239",
"telephone_number": "802-857-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15745 S AIRPORT RD BLDG D",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490158670",
"telephone_number": "269-565-3640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON HEALTH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARATHON HEALTH, LLC",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DESIGNATED OFFICIAL",
"authorized_official_telephone_number": "802-857-0420",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.