PRAXIS MEDICAL GROUP INC (NPI# 1235798679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235798679 |
| Entity Type | Organization |
| Organization Name | PRAXIS MEDICAL GROUP INC |
| Practice Address |
1315 Nw 4th Street Redmond OR 97756 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5415489159 |
| Practice Fax Number | 5415489168 |
| Mailing Telephone | 5413897741 |
| Mailing Fax Number | 5412788375 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| 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 |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 130225 | 05 |
| Other Name | Type Code |
|---|---|
| DESERT ORTHOPEDICS | 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 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 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 |
| 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 |
1315 NW 4TH STREET |
| City | REDMOND |
| State | OR |
| Zip Code | 97756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780668723 | Megan Lee Ledyard | Physical Therapist | 1315 Nw 4th Street, Suite B, Redmond, OR 97756-1328 | 2005-12-02 |
| 1114128980 | Cindy Evett Forsgren | Physical Therapist | 1315 Nw 4th Street, Suite B Tai Central Oregon Redmond, Redmond, OR 97756-1328 | 2007-05-30 |
| 1548364995 | Laurie Lynn Josepher | Speech-Language Pathologist | 1315 Nw 4th Street, Suite B Tai-central Oregon Redmond, Redmond, OR 97756-1328 | 2006-09-07 |
| 1245295641 | Eric Wayne Ballinger | Physical Therapist | 1315 Nw 4th Street, Suite B Tai Central Oregon Redmond, Redmond, OR 97756-1328 | 2006-04-19 |
| 1821073883 | Eric C Coughlin | Physical Therapist | 1315 Nw 4th Street, Suite B Tai Central Oregon Redmond, Redmond, OR 97756-1328 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1952532632 | John William Gilsdorf | Orthopaedic Surgery | 11423 Jubel Ct, Redmond, OR 97756-7447 | 2009-07-29 |
| 1225256241 | Howard N Putter | Orthopaedic Surgery | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-04-23 |
| 1508986159 | Jonathan L Knight | Orthopaedic Surgery | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-03-29 |
| 1245354273 | Joseph S Whatley | Orthopaedic Surgery | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-03-16 |
| 1477607034 | Richard W. Hsu | Orthopaedic Surgery | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-22 |
| 1487706388 | Thomas C Stoll | Orthopaedic Surgery | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1881108918 | Vvrx Pharmacy Billing Solutions LLC | Orthopaedic Surgery | 7427 Sw Coho Ct Ste 200, Tualatin, OR 97062-8618 | 2017-11-28 |
| 1427404672 | Jay Shelton Cox | Orthopaedic Surgery | 80 Raven Lane, Depoe Bay, OR 97341-0185 | 2016-05-06 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1568864171 | Thomas P Mcweeney Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 110, Tualatin, OR 97062-9717 | 2014-09-25 |
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1730505488 | David William Waldram | Orthopaedic Surgery | 15200 Sw Aquatic View, Powell Butte, OR 97753 | 2014-03-05 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 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.