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Marathon Health LLC

NPI 1730712712ActiveOrganization· Physician Assistant· Brooklyn, OH

Physician Assistant in Brooklyn, Ohio, registered in NPPES in February 2020, part of Marathon Health LLC. The authorized official on file is Jerry Ford, Ceo.

Overview

NPI1730712712
StatusActive
Entity typeOrganization (subpart)
Parent organizationMarathon Health LLC
NPI issuedFeb 18, 2020
Last updated in NPPESFeb 18, 2020
Certified by providerFeb 18, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

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