Active NPI
Marathon Health, LLC
- Nurse Practitioner
- Hammond, LA
National Provider Identifier
1740994045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2024
- 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
- Jeff Wells, MD
- Title
- Ceo
- Phone
- (802) 857-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2278004 | Laitram Health and Wellness Center Hammond | Certificate of waiver | Mar 8, 2027 |
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 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Health & Wellness Coach
- Hammond, LA
- NPI 1083281612
-
- Nurse Practitioner
- Harahan, LA
- NPI 1750912176
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
- Manninos Family Practice Pharmacy Inc (Mannino's Pharmacy LTC)
- Manninos Family Practice Pharmacy Inc (Mannino's Family Practice Pharmacy)
- Mantecol LLC (Greenlight Urgent Care)
- Brady Mapes
- Marathon Health LLC
- Kimberly Langhoff Marcel, APRHN, FNP-C
- Timothy Marcus, MD
- Marillac Community Health Centers (DePaul Community Health Centers - Hammond)
- Stephony Mark
- Cindy Martens
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.