Mark A Thibert (NPI# 1225104235, PAC ID# 7618993593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1225104235 |
| PAC ID by PECOS | 7618993593 |
| Professional Enrollment ID | I20150106001938 |
| Full Name | Mark A Thibert |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Address |
2088 Ne Kim Ln Bend OR 97701-6588 |
| Phone Number | 5413897741 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325941446 |
| Number of Group Practice Members | 160 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| 381313 | ST CHARLES PRINEVILLE |
| Address | Phone | Organization |
|---|---|---|
| 2088 Ne Kim Ln, Bend, OR 97701-6588 | 5413897741 | PRAXIS MEDICAL GROUP INC |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Physicians | 140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam Moriah Drummond | Physician Assistant | Praxis Medical Group Inc | 354 W Adams, Sisters, OR 97759 |
| Robert George Johnson | Family Medicine | Praxis Medical Group Inc | 2450 Sw Perkins Ave, Pendleton Family Medicine, Pendleton, OR 97801-4302 |
| Carrie Lynn Binder | Nurse Practitioner | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| Jeremiah W Lanford | Neurology | Praxis Medical Group Inc | 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 |
| David Berg Kirkpatrick | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Mackenzie I Van Loo | Physical Therapy | Praxis Medical Group Inc | 2698 Ne Courtney Dr, 100 Alpine Physical Therapy and Spine Care, Bend, OR 97701-7637 |
| Karla S Pivik | Dermatology | Praxis Medical Group Inc | 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 |
| Marta S Johnson-mitchell | Urology | Praxis Medical Group Inc | 1247 Ne Medical Ctr Dr C, Cascade Gastroenterology, Bend, OR 97701-3786 |
| Diana J Spring | Physical Therapy | Praxis Medical Group Inc | 336 Sw Cyber Dr, 107 Alpine Physical Therapy and Spine Care, Bend, OR 97702-1682 |
| Carolyn Elain Buel | Nurse Practitioner | Praxis Medical Group Inc | 1488 Oak St, Eugene, OR 97401-4043 |
| Street Address |
2088 NE KIM LN |
| City | BEND |
| State | OR |
| Zip | 97701-6588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeness M Christensen | Internal Medicine | Praxis Medical Group Inc | 2088 Ne Kim Ln, Bend, OR 97701-6588 |
| Jenna M Rentas | Nurse Practitioner | Praxis Medical Group Inc | 2088 Ne Kim Ln, Bend, OR 97701-6588 |
| Stephen A Mann | Family Medicine | Praxis Medical Group Inc | 2088 Ne Kim Ln, Bend, OR 97701-6588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria T Allen | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Mark K Spencer | Physician Assistant | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Kimberly Ann Kleaveland | Nurse Practitioner | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brent C Wesenberg | Emergency Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brett I Gingold | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Courtney Nicole Walker | Gastroenterology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Derek Beeson Smith | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Mary P Manfredi | Internal Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Ashley Moore Mcclary | Obstetrics/gynecology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Find all physicians in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BEND + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.