Jonathan B Stout (NPI# 1700882560, PAC ID# 5890780936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1700882560 |
| PAC ID by PECOS | 5890780936 |
| Professional Enrollment ID | I20040430000648 |
| Full Name | Jonathan B Stout |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Address |
1488 Oak St Eugene OR 97401-4043 |
| Phone Number | 5414310000 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8325941446 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1426 Oak St, Eugene, OR 97401-4043 | 5414310000 | PRAXIS MEDICAL GROUP INC |
| 1488 Oak St, Eugene, OR 97401-4043 | 5414310000 | 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 |
1488 OAK ST |
| City | EUGENE |
| State | OR |
| Zip | 97401-4043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Elain Buel | Nurse Practitioner | Praxis Medical Group Inc | 1488 Oak St, Eugene, OR 97401-4043 |
| 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 | FAMILY PRACTICE |
| City + Specialty | EUGENE + FAMILY PRACTICE |
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| 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.