MARATHON HEALTH, LLC (NPI# 1639640527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639640527 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH, LLC |
| Practice Address |
3880 Willowood Ave Springdale AR 72762-2774 |
| Mailing Address |
20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 |
| Practice Telephone | 8028570400 |
| Mailing Telephone | 8028570400 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | JERRY FORD (CEO) |
| Authorized Official Telephone | 8028570400 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARATHON HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Marathon Health Cargill at Springdale | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292068 | Marathon Health, LLC | Family Medicine | 15745 S Airport Rd Bldg D, Battle Creek, MI 49015-8670 | 2019-08-27 |
| 1093376840 | Marathon Health, LLC | Nurse Practitioner | 807 Cherokee Dr Ste 5, Marshall, MO 65340-1690 | 2019-06-24 |
| 1033773544 | Marathon Health, LLC | Nurse Practitioner | 1930 S State St, Salt Lake City, UT 84115-2311 | 2019-04-30 |
| 1881167245 | Marathon Health, LLC | Physician Assistant | 284 Roost Ave, Holland, MI 49424-2032 | 2019-01-09 |
| 1952827818 | Marathon Health, LLC | Nurse Practitioner | 4700 Exchange Ct, Boca Raton, FL 33431-4450 | 2017-08-22 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1598306656 | Marathon Health, LLC | Nurse Practitioner | 1515 June Ave, Panama City, FL 32405-3759 | 2019-09-30 |
| 1932755956 | Marathon Health, LLC | Nurse Practitioner | 81 E Broadway St, Jackson, OH 45640 | 2019-08-15 |
| 1417511924 | Marathon Health, LLC | Nurse Practitioner | 725 Highway 142, Poplar Bluff, MO 63901-8159 | 2019-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARATHON HEALTH, LLC | 20 Winooski Falls Suite 400, Winooski, Vt 05404 |
| Colorado Business Entities | Marathon Health, LLC | 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 |
| Oregon Corporations, Companies and Business Names | MARATHON HEALTH, LLC | 20 Winooski Falls Way Ste 400, Winooski, VT 05404 |
| Street Address |
3880 WILLOWOOD AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720514847 | Sasha Laine Kutz | Nurse Practitioner | 1678 Kensington Pl, Springdale, AR 72764-1159 | 2017-05-10 |
| 1558810937 | Sas-apn LLC | Nurse Practitioner | 5304 Bryant Pl, Springdale, AR 72764-2585 | 2016-09-27 |
| 1144604760 | Lorri Logan Cigalina | Nurse Practitioner | 4301 Greahouse Springs Rd, Springdale, AR 72762 | 2015-07-14 |
| 1598052250 | Leann W Metheny | Nurse Practitioner | 700 N 40th St Ste B, Springdale, AR 72762-0633 | 2011-07-01 |
| 1790765121 | Wendy Leigh Sisson | Nurse Practitioner | 6885 Harlan Ave, Springdale, AR 72762-4195 | 2006-01-20 |
| 1144836909 | Kasilynn Alese Shaddy | Nurse Practitioner | 3300 W Sunset Ave, Springdale, AR 72762-4950 | 2020-09-17 |
| 1831709518 | Metheny Family Care Clinic Corp | Nurse Practitioner | 700 N 40th St Ste B, Springdale, AR 72762-0633 | 2020-08-06 |
| 1750918660 | Lrae Urainuz Wintercorn | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2020-03-23 |
| 1386291656 | Dominique Ann Ertolacci | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-08-21 |
| 1336705813 | Candra Nicole Ray | Nurse Practitioner | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6322 | 2019-05-10 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.