Active NPI
Marathon Health, LLC
- Nurse Practitioner
- Norway, ME
National Provider Identifier
1770171746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MARATHON HEALTH, LLC
- Practice address
- 72 Cottage St
Norway, ME 04268-6012 - Phone
- (207) 744-4240
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- 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
- Jerry Ford
- Title
- Ceo
- Phone
- (802) 857-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
72 Cottage St
Norway, ME 04268-6012
Mailing address
20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
Phone (802) 857-0400
Other names 1
- New Balance Norway Health Center @ Marathon Health
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 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Nurse Practitioner
- Norridgewock, ME
- NPI 1194358168
-
- Primary Care Nurse Practitioner
- Rumford, ME
- NPI 1457035396
-
dba MH - New Balance - Central Maine
- Primary Care Clinic/Center
- Skowhegan, ME
- NPI 1497343461
Locations
72 Cottage St
Norway, ME 04268
Phone (207) 744-4240
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Primary Care Nurse Practitioner
- Rumford, ME
- NPI 1457035396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1770171746",
"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": "802-857-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 COTTAGE ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042686012",
"telephone_number": "207-744-4240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON HEALTH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARATHON HEALTH, LLC",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "802-857-0400"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Balance Norway Health Center @ Marathon Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Norway, ME
- Mainehealth (Stephens Memorial Hospital Swing Bed)
- Mainehealth (MaineHealth Stephens Hospital)
- Mainehealth (MaineHealth Stephens Hospital)
- Mainehealth (MaineHealth Pediatrics)
- Mark Maksimowicz, LCSW
- Larry M Marcus, MD
- Marjorie Howe DMD
- Dail Marie Martin, FNP-C
- Emma L Mason, DO
- Belle Anne Matheson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.