Marathon Health, LLC
NPI 1417511924ActiveOrganization· Nurse Practitioner· Poplar Bluff, MO
Nurse Practitioner in Poplar Bluff, Missouri, registered in NPPES in April 2019, part of Marathon Health LLC. The authorized official on file is Jerry Ford, Ceo.
Overview
| NPI | 1417511924 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Marathon Health LLC |
| NPI issued | Apr 30, 2019 |
| Last updated in NPPES | Apr 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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