PRAXIS MEDICAL GROUP INC


Address: 1303 Ne Cushing Drive, Suite 100, Bend, OR 97701
Phone: 5413882333

PRAXIS MEDICAL GROUP INC (NPI# 1477112803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477112803
Entity Type Organization
Organization Name PRAXIS MEDICAL GROUP INC
Practice Address 1303 Ne Cushing Drive
Suite 100
Bend
OR 97701
Mailing Address Po Box 670
Bend
OR 97709-0670
Practice Telephone 5413882333
Practice Fax Number 5413880930
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 130225 05

Other Provider/Organization Names

Other Name Type Code
DESERT ORTHOPEDICS Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 1303 NE CUSHING DRIVE
SUITE 100
City BEND
State OR
Zip Code 97701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124089537 Joseph D Nance Physical Therapist 1303 Ne Cushing Drive, Suite 150, Bend, OR 97701-3891 2006-03-28
1831151919 Tony B Dao Occupational Therapist 1303 Ne Cushing Drive, Suite 150, Bend, OR 97701-3891 2006-04-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1013480714 Andrew Traut Specialist/Technologist Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 2019-01-04
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
Find all providers in zip 97701

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1346582525 Derek Beeson Smith Orthopaedic Surgery 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 2013-03-26
1588808208 Holm W Neumann Orthopaedic Surgery 16825 Delicious St, Bend, OR 97701-9139 2009-04-24
1295148757 Paul Albert Shultz Orthopaedic Surgery 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 2014-06-03
1235493099 Derrek Woodbury Orthopaedic Surgery 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 2012-06-26
1245462894 Erin E Finter Orthopaedic Surgery 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 2009-08-17
1528224441 Michael Louis Caravelli Orthopaedic Surgery 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 2008-07-30
1588835383 Rod Wigle M.d., LLC Orthopaedic Surgery 1693 Sw Chandler Ave, 250, Bend, OR 97702-3236 2008-03-19
1366594244 James Roy Karmy Orthopaedic Surgery 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 2007-01-18
1730269341 David Allen Brown Orthopaedic Surgery 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 2006-10-17
Find all providers in BEND

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City BEND
Zip Code 97701

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Dataset Information

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.

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