PRAXIS MEDICAL GROUP INC (NPI# 1407234628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407234628 |
| Entity Type | Organization |
| Organization Name | PRAXIS MEDICAL GROUP INC |
| Other Organization Name | EASTERN OREGON ORTHOPAEDIC SURGERY & FRACTURE CLINIC |
| Practice Address |
3207 Sw Perkins Ave Pendleton OR 97801-4465 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5412764642 |
| Practice Fax Number | 5412764975 |
| Mailing Telephone | 5412764642 |
| Mailing Fax Number | 5412764975 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | GARRETT TK KENNEDY (CEO) |
| Authorized Official Telephone | 5412784747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers |
| Other Name | Type Code |
|---|---|
| Eastern Oregon Orthopaedic Surgery & Fracture Clinic | 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 |
| 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 |
| Street Address |
3207 SW PERKINS AVE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-4465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194769299 | Eastern Oregon Orthopaedic Surgery & Fracture Clinic Inc | Specialist | 3207 Sw Perkins Ave, Pendleton, OR 97801-3215 | 2006-06-16 |
| 1154764405 | Dr. Russell B Harrison, Md PC | Clinic/Center | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2013-04-16 |
| 1477799500 | Kristin Kimmel Schmidtgall | Physician Assistant | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2008-12-18 |
| 1013081082 | Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc | Durable Medical Equipment & Medical Supplies | 3207 Sw Perkins Ave, Pendleton, OR 97801-3215 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 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 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423676 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 Se Court Pl Ste P, Pendleton, OR 97801-3281 | 2020-06-29 |
| 1811300874 | Clearview Mediation and Disability Resource Center | Durable Medical Equipment & Medical Supplies | 307 Sw 6th St, Pendleton, OR 97801-2061 | 2014-06-07 |
| 1528401726 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 144 Sw 20th St, Pendleton, OR 97801-1804 | 2013-04-08 |
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1245394907 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 502 N.e. Hwy 11, Pendleton, OR 97801 | 2006-12-20 |
| 1548363245 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 620 E State St, Pendleton, IN 46064-9381 | 2006-09-07 |
| 1245342195 | Pendleton Lowcost Prescription | Durable Medical Equipment & Medical Supplies | 777 E Water St, Pendleton, IN 46064-9317 | 2006-08-31 |
| 1760591051 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1900 Southwest Court Place, Melanie Square, Pendleton, OR 97801-1891 | 2006-08-30 |
| 1235156381 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2203 Sw Court Pl, Pendleton, OR 97801-1896 | 2006-07-16 |
| 1720011083 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 901 Sw Emigrant Ave, Pendleton, OR 97801-1948 | 2006-07-09 |
| Find all providers in PENDLETON | ||||
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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.