PRAXIS MEDICAL GROUP INC (NPI# 1083262703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083262703 |
| Entity Type | Organization |
| Organization Name | PRAXIS MEDICAL GROUP INC |
| Practice Address |
2450 Sw Perkins Avenue Pendleton OR 97801 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5412761700 |
| Practice Fax Number | 5412766327 |
| Mailing Telephone | 5413897741 |
| Mailing Fax Number | 5412788375 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | MR. GARRETT TK KENNEDY (CEO) |
| Authorized Official Telephone | 5412784747 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAXIS MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 130225 | 05 |
| Other Name | Type Code |
|---|---|
| Pendleton Family Medicine Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1821620402 | Praxis Medical Group Inc | Clinic/Center | 2215 Nw Shevlin Park Road, Suite 100, Bend, OR 97703-7195 | 2020-02-11 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1578111399 | Praxis Medical Group Inc | Internal Medicine | 10 Coburg Rd., Suite 201, Eugene, OR 97401-7487 | 2019-08-27 |
| 1477112803 | Praxis Medical Group Inc | Orthopaedic Surgery | 1303 Ne Cushing Drive, Suite 100, Bend, OR 97701 | 2019-06-10 |
| 1235798679 | Praxis Medical Group Inc | Orthopaedic Surgery | 1315 Nw 4th Street, Redmond, OR 97756 | 2019-06-10 |
| 1932630365 | Praxis Medical Group Inc | Internal Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2017-03-27 |
| 1407234628 | Praxis Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2015-05-07 |
| Street Address |
2450 SW PERKINS AVENUE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| 1083962435 | James Denton Ward | Obstetrics & Gynecology | 3001 St Anthony Way Ste 205, Pendleton, OR 97801 | 2012-08-16 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1821620402 | Praxis Medical Group Inc | Clinic/Center | 2215 Nw Shevlin Park Road, Suite 100, Bend, OR 97703-7195 | 2020-02-11 |
| 1952812687 | Mend Clinic LLC | Clinic/Center | 2936 Commercial St Se, Salem, OR 97302-4552 | 2017-10-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1215388145 | Family Choice Urgent Care LLC | Clinic/Center | 108 Nw Sisemore St, Suite 120, Bend, OR 97703-2869 | 2016-06-22 |
| 1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
| 1710349477 | Uptown Providers PC | Clinic/Center | 14284 Sw Allen Blvd, Beaverton, OR 97005-4405 | 2016-03-22 |
| 1790188043 | Emurgent Care LLC | Clinic/Center | 109b E Ellendale Ave, Dallas, OR 97338-1794 | 2014-10-01 |
| 1134563620 | Uptown Providers Inc | Clinic/Center | 7033 Ne Sandy Blvd, Portland, OR 97213 | 2013-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.