PRAXIS MEDICAL GROUP INC (NPI# 1609435049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609435049 |
| Entity Type | Organization |
| Organization Name | PRAXIS MEDICAL GROUP INC |
| Practice Address |
1140 Sw Simpson Avenue Suite 100 Bend OR 97702 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5413882333 |
| 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 |
| 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 |
| 1407234628 | Praxis Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2015-05-07 |
| Street Address |
1140 SW SIMPSON AVENUE SUITE 100 |
| City | BEND |
| State | OR |
| Zip Code | 97702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| 1518468644 | Desert Bone & Joint Specialists LLP | Orthopaedic Surgery | 1140 Sw Simpson Ave, Ste 100, Bend, OR 97702 | 2018-02-23 |
| Find all providers in zip 97702 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1477112803 | Praxis Medical Group Inc | Orthopaedic Surgery | 1303 Ne Cushing Drive, Suite 100, Bend, OR 97701 | 2019-06-10 |
| 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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| 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.