PRAXIS MEDICAL GROUP INC


Address: 147 S 52nd Pl, Springfield, OR 97478-6210
Phone: 5417461166

PRAXIS MEDICAL GROUP INC (NPI# 1932630365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932630365
Entity Type Organization
Organization Name PRAXIS MEDICAL GROUP INC
Other Organization Name THURSTON MEDICAL CLINIC
Practice Address 147 S 52nd Pl
Springfield
OR 97478-6210
Mailing Address Po Box 1517
Pendleton
OR 97801-0410
Practice Telephone 5417461166
Practice Fax Number 5417466736
Mailing Telephone 5417461166
Mailing Fax Number 5417466736
Enumeration Date 2017-03-27
Last Update Date 2017-03-27
Authorized Official Name MR. GARRETT TK KENNEDY (CEO)
Authorized Official Telephone 5412784747
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
THURSTON MEDICAL CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

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
1407234628 Praxis Medical Group Inc Durable Medical Equipment & Medical Supplies 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 2015-05-07

Office Location

Street Address 147 S 52ND PL
City SPRINGFIELD
State OR
Zip Code 97478-6210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548236029 Kathleen Anne Jackson Internal Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-02-24
1700390721 Mallory Gail Crownover Nurse Practitioner 147 S 52nd Pl, Springfield, OR 97478-6210 2017-11-29
1265852586 Cary Randall Bybee Emergency Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2014-04-25
1902156110 Allyson Paige Swann Physician Assistant 147 S 52nd Pl, Springfield, OR 97478-6210 2012-09-14
1386696995 Steven Joseph Butdorf Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-16
1396797916 Michelle Lynn Kaplan Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-16
1437109154 Stephan Anthony Ames Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-11
1285684001 Eric L Geisler Family Medicine 147 S 52nd Pl, Springfield, OR 97478-6210 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588225155 Mckenzie Dental Center Dentist 110 S. 59th St, Springfield, OR 97478 2019-06-25
1831691310 Michael Ryan Odle Psychologist 36716 Oak Point Rd, Springfield, OR 97478 2018-03-01
1639612880 Icco LLC Clinic/Center 5781 Main Street, Springfield, OR 97478 2016-11-21
1639529258 Nate John Sutherland Behavioral Analyst 37770 Upper Creek Road, Springfield, OR 97478 2016-06-14
1457760134 Leah Rybolt Physical Therapist 145 South 52nd Place, Springfield, OR 97478 2014-08-07
1972918423 Loree Lynn Howard Case Manager/Care Coordinator 4145 Jasper Road, Springfield, OR 97478 2014-06-24
1245589753 Sarah M Boothe Doula 870 S 46th St, Springfield, OR 97478 2012-08-30
1902155401 Dani Maree Hill Pharmacist 5744 Main Street, Springfield, OR 97478 2012-08-30
1295005312 Express Services Unlimited, Inc. Non-emergency Medical Transport (VAN) 37506 Hills Creek Road, Springfield, OR 97478 2012-01-05
1255524468 Leeann D Fields Licensed Practical Nurse 3318 Lakeview Dr, Eugene, OR 97478 2007-08-21
Find all providers in zip 97478

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841802592 Community Health and Wellness Services, Inc. Family Medicine 312 Memorial Park Dr, Springfield, PA 19064-1714 2020-08-22
1649815796 180 Health Lifestyle Wellness Centers Family Medicine 1936 S Glenstone Ave, Springfield, MO 65804-2305 2019-11-13
1790337988 Aminat Ogun Family Medicine 520 N 4th St # 62702, Springfield, IL 62702-5238 2019-07-09
1770076622 Thomas John Schumann Family Medicine 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 2018-06-14
1134648959 Patricia Derges Family Medicine 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 2017-09-12
1740704667 Mercy Management of Sepa Family Medicine 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 2017-08-02
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1790215853 Vincent Marchese Family Medicine 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 2017-06-12
1184152100 Canaan Arceneaux Family Medicine 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 2017-06-03
1063943587 Cody Stark Rogers Family Medicine 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 2017-03-26
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 97478

Improve Information

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Dataset Information

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.

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