PRAXIS MEDICAL GROUP P.C. (NPI# 1770183063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770183063 |
| Entity Type | Organization |
| Organization Name | PRAXIS MEDICAL GROUP P.C. |
| Practice Address |
1890 7th St. Umatilla OR 97882 |
| Mailing Address |
2460 Sw Perkins Ave Pendleton OR 97801 |
| Practice Telephone | 5415676434 |
| Mailing Telephone | 5412766700 |
| Mailing Fax Number | 5412784332 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | GARRETT TK KENNEDY (CEO) |
| Authorized Official Telephone | 5412784747 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAXIS MEDICAL GROUP P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1386244689 | Praxis Medical Group P.C. | Clinic/Center | 2474 Sw Perkins Ave, Pendleton, OR 97801 | 2020-10-27 |
| Street Address |
1890 7TH ST. |
| City | UMATILLA |
| State | OR |
| Zip Code | 97882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518448513 | Jennifer Alane Escobedo | Counselor | 915 S.e. Columbia Drive, Hermiston, OR 97882 | 2018-08-27 |
| 1003985482 | Carol Shelton | Dentist | 82911 Beach Access Rd. (two Rivers Correctional Inst.), Umatilla, OR 97882 | 2006-11-07 |
| 1457358251 | Robert Sterling Carr | Dentist | 200 6th St, Umatilla, OR 97882 | 2005-07-07 |
| 1588736045 | Umatilla Rural Fire Protection | Emergency Medical Technician, Paramedic | 921 6th Street, Umatilla, OR 97882-0456 | 2006-11-13 |
| 1093834004 | Umatilla Medical Clinic | Clinic/Center | 1890 E 7th Street, Umatilla, OR 97882-0790 | 2007-03-29 |
| 1609310127 | All About Smiles Dental Clinic | Clinic/Center | 200 6th St, Umatilla, OR 97882-3004 | 2016-12-19 |
| 1770647281 | Pamela Renee Stonecypher | Counselor | 28535 Southshore Dr, Umatilla, OR 97882-6124 | 2006-12-20 |
| 1427054600 | Jennifer J Armstrong | Nurse Practitioner | 82346 Bucks Ln, Umatilla, OR 97882-6249 | 2005-06-22 |
| 1427326230 | Catreece Edmiston | Massage Therapist | 81673 Harbor Lite Dr, Umatilla, OR 97882-6257 | 2011-12-07 |
| 1215179577 | Sandra K Peery | Counselor | 290 Willamette St, Umatilla, OR 97882-6601 | 2009-04-01 |
| Find all providers in zip 97882 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1225694706 | Columbia Lutheran Charities | Clinic/Center | 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 | 2019-05-10 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1477945517 | Morrow County Health District | Clinic/Center | 365 W 3rd St, Ione, OR 97843-7216 | 2015-02-26 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 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.