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Marathon Health LLC

NPI 1235760653ActiveOrganization· Nurse Practitioner· Hanover, MD

Nurse Practitioner in Hanover, Maryland, registered in NPPES in February 2020, part of Marathon Health LLC. The authorized official on file is Jerr Ford, Ceo.

Overview

NPI1235760653
StatusActive
Entity typeOrganization (subpart)
Parent organizationMarathon Health LLC
NPI issuedFeb 4, 2020
Last updated in NPPESFeb 4, 2020
Certified by providerFeb 4, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Hanover

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