Mallory Gail Crownover (NPI# 1700390721, PAC ID# 1052672565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700390721 |
| PAC ID by PECOS | 1052672565 |
| Professional Enrollment ID | I20180226001189 |
| Full Name | Mallory Gail Crownover |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Address |
1445 Willamette St Suite 1 Eugene OR 97401-4087 |
| Phone Number | 5414310000 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325941446 |
| Number of Group Practice Members | 160 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1445 Willamette St, Suite 1, Eugene, OR 97401-4087 | 5414310000 | PRAXIS MEDICAL GROUP INC |
| 147 S 52nd Pl, Springfield, OR 97478-6210 | 5417461166 | PRAXIS MEDICAL GROUP INC |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Physicians | 140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam Moriah Drummond | Physician Assistant | Praxis Medical Group Inc | 354 W Adams, Sisters, OR 97759 |
| Robert George Johnson | Family Medicine | Praxis Medical Group Inc | 2450 Sw Perkins Ave, Pendleton Family Medicine, Pendleton, OR 97801-4302 |
| Carrie Lynn Binder | Nurse Practitioner | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| Jeremiah W Lanford | Neurology | Praxis Medical Group Inc | 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 |
| David Berg Kirkpatrick | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Mackenzie I Van Loo | Physical Therapy | Praxis Medical Group Inc | 2698 Ne Courtney Dr, 100 Alpine Physical Therapy and Spine Care, Bend, OR 97701-7637 |
| Karla S Pivik | Dermatology | Praxis Medical Group Inc | 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 |
| Marta S Johnson-mitchell | Urology | Praxis Medical Group Inc | 1247 Ne Medical Ctr Dr C, Cascade Gastroenterology, Bend, OR 97701-3786 |
| Mark A Thibert | Internal Medicine | Praxis Medical Group Inc | 2088 Ne Kim Ln, Bend, OR 97701-6588 |
| Diana J Spring | Physical Therapy | Praxis Medical Group Inc | 336 Sw Cyber Dr, 107 Alpine Physical Therapy and Spine Care, Bend, OR 97702-1682 |
| Street Address |
1445 WILLAMETTE ST SUITE 1 |
| City | EUGENE |
| State | OR |
| Zip | 97401-4087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Kaplan | Family Medicine | Praxis Medical Group Inc | 1445 Willamette St, Suite 1, Eugene, OR 97401-4087 |
| Stephen A Ames | Family Medicine | Praxis Medical Group Inc | 1445 Willamette St, Suite 1, Eugene, OR 97401-4087 |
| Kathleen A Jackson | Internal Medicine | Praxis Medical Group Inc | 1445 Willamette St, Suite 1, Eugene, OR 97401-4087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Cherne | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Anthony P Grillo | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Omer Gal | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Claude Brist | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Bradley J Lorenzen | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Robin E Bautista | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| John J Deguire | Ophthalmology | Scott A Cherne, Md, PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Bruce R Manchester | Certified Registered Nurse Anesthetist | Northwest Anesthesia Physicians PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Jill S Ritchie | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Brittany Herson | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Find all physicians in zip 97401 | |||
| City | EUGENE |
| Zip Code | 97401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EUGENE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mallory Gail Crownover.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.