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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH BLOOMINGTON IN
NPI 1063288678
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Bloomington, IN

Active since November 27, 2023
514 W 2ND ST, BLOOMINGTON, IN 47403(812) 628-2050 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Everside Health Bloomington In NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERSIDE HEALTH BLOOMINGTON IN (NPI 1063288678), doing business as Marathon Health- Bloomington In- West 2nd St, is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Bloomington, Indiana and active in the NPI registry since November 2023. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1063288678
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH BLOOMINGTON IN
Location Address514 W 2ND STBloomington, IN 47403-2316
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(812) 628-2050
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateNovember 27, 2023
Last NPPES UpdateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1063288678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
514 W 2ND ST, Bloomington, IN 47403
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Other Names 1

Doing Business AsMarathon Health- Bloomington In- West 2nd St

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT STONE MD
Emergency Medicine (Hospice and Palliative Medicine)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
MARATHON HEALTH, LLC
Clinic/Center
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (866) 434-3255
DEAN EDWARD JONES
Nurse Practitioner (Family)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3716
CANCER CARE CENTER OF SOUTHERN INDIANA, LLC
Specialist
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 323-1535
KARUNA S KONERU M.D.
Internal Medicine (Hematology & Oncology)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 676-4444
DR. IVY M LEE MD
Internal Medicine (Hospice and Palliative Medicine)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
JEFFREY ALAN DEDELOW M.D.
Radiology (Diagnostic Radiology)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
RAJESH V SHAH M.D.
Internal Medicine (Hematology & Oncology)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 676-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everside Health Bloomington In's NPI number?

The NPI number for Everside Health Bloomington In is 1063288678. It was assigned to this organization in the NPPES registry on November 27, 2023. The provider is doing business as Marathon Health- Bloomington IN- West 2nd St.

Where is Everside Health Bloomington In located?

Everside Health Bloomington In is located at 514 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 628-2050.

What is Everside Health Bloomington In's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Everside Health Bloomington In was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.