Organization Active NPI

Marathon Health, LLC

  • Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1740994045
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MARATHON HEALTH, LLC
Practice address
20157 Intralox Dr FL 2
Hammond, LA 70401-4142
Phone
(985) 236-1884
NPI assigned
Jan 11, 2023
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MARATHON HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

20157 Intralox Dr FL 2
Hammond, LA 70401-4142

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (802) 857-0400

Other names 1

  • Laitram Health and Wellness Center @ Hammond Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2278004Laitram Health and Wellness Center Hammond20157 Intralox Dr, Hammond, LA 70401Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health LLC166 organizations share this tax ID, including this one
Part of
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.

Locations

20157 Intralox Dr
Hammond, LA 70401
Phone (866) 269-6516

20157 Intralox Dr
Fl 2
Hammond, LA 70401
Phone (985) 236-1884

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1740994045",
    "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": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20157 INTRALOX DR FL 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704014142",
            "telephone_number": "985-236-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH, LLC",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laitram Health and Wellness Center @ Hammond",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laitram Health and Wellness Center @ Hammond",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.