IBEW LOCAL 38
NPI 1790318772
Nurse Practitioner in Beachwood, OH

Q: What is Marathon Health LLC's NPI number?

The NPI number for Marathon Health LLC is 1790318772. It was assigned to this organization in the NPPES registry on February 18, 2020. The provider is also known as Ibew Local 38.

Q: What is Marathon Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 18, 2020CLIA 36D2161603 · Waiver

3609 PARK EAST DR STE 210, BEACHWOOD, OH 44122(216) 245-5680 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ibew Local 38 NPPES

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

IBEW LOCAL 38 (NPI 1790318772) is a healthcare organization registered as a nurse practitioner in Beachwood, Ohio and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790318772

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMARATHON HEALTH LLC

Location Address3609 PARK EAST DR STE 210Beachwood, OH 44122-4309

Mailing AddressPo Box 5Winooski, VT 05404-0005

Phone(216) 245-5680

Organization SubpartYes

Authorized OfficialJerry FordCeo · (802) 857-0400

Enumeration DateFebruary 18, 2020

Last NPPES UpdateFebruary 19, 2020

✔ NPI 1790318772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3609 PARK EAST DR STE 210, Beachwood, OH 44122

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Other Names 1

Other NameIbew Local 38

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2161603

Ibew Local 38 Health Center · Beachwood, OH

Active · expires Feb 5, 2027

CLIA Number36D2161603

Laboratory TypeOnsite Health Center

Certificate Effective DateFebruary 6, 2025

Certificate Expiration DateFebruary 5, 2027

Laboratory DirectorNora Grabowski

Laboratory Phone(802) 857-0400

Laboratory LocationIbew Local 38 Health Center3609 Park East Drive Suite 210, Beachwood, OH 44122

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LYNDA G MONTGOMERY MD

Family Medicine

3609 PARK EAST DR STE 210
BEACHWOOD, OH 44122

Cuyahoga County (216) 245-5680

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 Marathon Health LLC's NPI number?

The NPI number for Marathon Health LLC is 1790318772. It was assigned to this organization in the NPPES registry on February 18, 2020. The provider is also known as Ibew Local 38.

Where is Marathon Health LLC located?

Marathon Health LLC is located at 3609 Park East Dr Ste 210, Beachwood, OH 44122. The listed phone number is (216) 245-5680.

What is Marathon Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Marathon Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2161603) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marathon Health LLC was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.