MARATHON HEALTH AT BREVARD NORTH
NPI 1942740675
General Practice in Titusville, FL
NPI Status: Active since February 28, 2017
Contact Information
1505 KNOX MCRAE DRIVE
C/O BREVARD WELLCARE- NORTH
TITUSVILLE, FL
ZIP 32780
Phone: (802) 857-0400
- Organization
- General Practice
- CLIA Number: 23D2284978
- CLIA Cert. Type: Other - ONSITE HEALTH CENTER
- CLIA Exp. Date: 07-02-2025
About MARATHON HEALTH AT BREVARD NORTH
This page provides the complete NPI Profile along with additional information for Marathon Health At Brevard North, a primary care provider established in Titusville, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1942740675 assigned on February 2017. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Marathon Health At Brevard North. The authorized official of this NPI record is Jerry Ford (Ceo)
- NPI
- 1942740675
- Provider Legal Name
- MARATHON HEALTH, LLC
- Other Organization Name
- MARATHON HEALTH AT BREVARD NORTH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1505 KNOX MCRAE DRIVE C/O BREVARD WELLCARE- NORTH TITUSVILLE, FL 32780
- Location Phone
- (802) 857-0400
- Mailing Address
- 20 WINOOSKI FALLS WAY STE. 400 WINOOSKI, VT 05404
- Mailing Phone
- (802) 857-0400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-28-2017
- Last Update Date
- 02-28-2017
- Code Navigator
A primary care provider (PCP) like Marathon Health At Brevard North sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2284978
- Facility Type
- Other - ONSITE HEALTH CENTER
- Certificate Effective Date
- July 03, 2023
- Certificate Expiration Date
- July 02, 2025
- Laboratory Director
- JOANNA OLSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Marathon Health At Brevard North to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 4 | 2 | 7 | 4 | 0 | 6 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 14 | 4 | 0 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 1 + 4 + 4 + 0 + 6 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1942740675 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295173375 | DR. SHAUN-PIERRE A GREGOIRE MD Individual | Family Medicine | 1505 KNOX MCRAE DRIVE TITUSVILLE, FL 32780 (321) 222-9070 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942740675, enumerated in the NPI registry as an "organization" on February 28, 2017
The provider is located at 1505 Knox Mcrae Drive C/o Brevard Wellcare- North Titusville, Fl 32780 and the phone number is (802) 857-0400
This medical organization specializes in General Practice with taxonomy code 208D00000X
The provider's CLIA number is 23D2284978 for a "other - onsite health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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