Marathon Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MARATHON HEALTH LLC

Practice address

1001 East Main Street
Green Forest, AR 72638

Phone

(802) 857-0400

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MARATHON HEALTH, LLCAs reported in NPPES

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

Addresses

Other names 1

• Tyson Berryville/GreenForrest @ Marathon Health Other name

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

CLIA laboratory certificates

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.

• Marathon Health, Inc.

  • Nurse Practitioner
  • Stuttgart, AR
  • NPI 1558730648
  NPD tax ID
• Marathon Health, Inc.

  • Nurse Practitioner
  • Forrest City, AR
  • NPI 1699149559
  NPD tax ID

Locations

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1962092619",
    "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": "1001 EAST MAIN STREET",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "72638",
            "telephone_number": "802-857-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH, LLC",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-11",
        "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": "Tyson Berryville/GreenForrest @ Marathon Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mitzi Ann Heithaus, CCC-SLP
• Karl True Hurst, PT2020
• Patricia Ann Hurst, PT
• Kinetic Wellness, LLC
• Wendi Lagore, COTA/L
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-Green Forest)
• Mercy Hospital Springfield (Mercy Emergency Medical Services-Carroll County)
• Leah Carol Motzko, OTR
• Savannah Rose Motzko, M.S., CCC-SLP
• Hannah Nicole Owsley, M.S., CCC-SLP

• Nurse Practitioner in Green Forest, AR
• Providers in Green Forest, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.