PRAXIS MEDICAL GROUP INC (NPI# 1578111399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578111399 |
| Entity Type | Organization |
| Organization Name | PRAXIS MEDICAL GROUP INC |
| Other Organization Name | EUGENE ENDOCRINOLOGY |
| Practice Address |
10 Coburg Rd. Suite 201 Eugene OR 97401-7487 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5414853636 |
| Practice Fax Number | 5413444305 |
| Mailing Telephone | 5413897741 |
| Mailing Fax Number | 5412788375 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-30 |
| 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 | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 130225 | 05 |
| Other Name | Type Code |
|---|---|
| Eugene Endocrinology | 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 |
| 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 |
10 COBURG RD. SUITE 201 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-7487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609827278 | Sarah J Brendler | Internal Medicine | 10 Coburg Rd., #201, Eugene, OR 97401 | 2006-05-16 |
| 1639122187 | Lane Gastroenterology Associates PC | Internal Medicine | 10 Coburg Rd., #201, Eugene, OR 97401 | 2006-05-18 |
| 1285686097 | Ann W Rose | Physician Assistant | 10 Coburg Rd., #201, Eugene, OR 97401 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639439862 | Jonathan Bennion | Internal Medicine | 10 Coburg Rd Ste 201, Eugene, OR 97401-7487 | 2012-05-22 |
| 1205068012 | Yien Chiong | Internal Medicine | 600 Country Club Rd, Eugene, OR 97401-2240 | 2009-08-12 |
| 1144287848 | Michael Racine | Internal Medicine | 10 Coburg Rd, Suite 201, Eugene, OR 97401-7478 | 2006-04-27 |
| 1487626198 | C. David Calder | Internal Medicine | 1200 Hilyard St, Suite S-200, Eugene, OR 97401-8122 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
| 1164772281 | Sheldon Junior Mckenzie | Internal Medicine | 520 Sw Ramsey Avenue, Suite 205, Grants Pass, OR 97527-0001 | 2012-09-17 |
| 1669731204 | Elena Vladimirovna Varlamov | Internal Medicine | 3181 Sw Sam Jackson Park Road, L607, Portland, OR 97239-3098 | 2012-05-15 |
| 1134486780 | Leah M Wilson | Internal Medicine | 3181 Sw Sam Jackson Park Rd L579, Ohsu, Portland, OR 97239 | 2012-04-20 |
| 1225225113 | James W. Theen, Md PC | Internal Medicine | 935 Town Centre Dr, Suite B, Medford, OR 97504-6172 | 2007-09-25 |
| 1821283631 | Priya Krishnamurthy | Internal Medicine | 960 Liberty St. Se, Suite 170, Salem, OR 97302 | 2007-09-14 |
| 1700983574 | Maria Fleseriu | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte472, Portland, OR 97239-3011 | 2006-09-20 |
| 1790888097 | Beverley E Phillipson | Internal Medicine | 107 Se Swan Ave, Siletz, OR 97380 | 2006-09-06 |
| 1306894647 | Rogue Endocrinology and Metabolic Clinic | Internal Medicine | 3144 State St, Medford, OR 97504-8450 | 2006-05-05 |
| 1992768592 | Irina Robinson | Internal Medicine | 3615 Nw Samaritan Dr Ste G2, Corvallis, OR 97330-3783 | 2006-04-06 |
| 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.