Marathon Medical Clinic, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301039120 Issued in MI

Legal business name

MARATHON MEDICAL CLINIC, P.C.

Practice address

4526 Pine St
Columbiaville, MI 48421-8920

Phone

(810) 793-7550

Fax

(810) 793-7962

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Abner J Espinosa, M.D.

Title

President

Phone

(810) 793-7550

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1669772505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484210007",
            "telephone_number": "810-793-7550",
            "fax_number": "810-793-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 PINE ST",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484218920",
            "telephone_number": "810-793-7550",
            "fax_number": "810-793-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "ABNER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-793-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301039120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Espinosa Health Plaza PLLC
• Nicole Fick, RN
• Sonia Gouine
• Jessica Griswold
• Stanley K Lorang, DDS
• Carolina McLimans
• Helen M Mitchell
• Kristen Nichole Reeser, CPRC
• Robin Russell Reye, SAPA-C
• Meghan Riley

• Internal Medicine Physician in Columbiaville, MI
• Providers in Columbiaville, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.