Jeremiah W Lanford (NPI# 1033230800, PAC ID# 6103926373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1033230800 |
| PAC ID by PECOS | 6103926373 |
| Professional Enrollment ID | I20180419002700 |
| Full Name | Jeremiah W Lanford |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Address |
2450 Ne Mary Rose Pl Suite 210 Bend OR 97701-7133 |
| Phone Number | 5413897741 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2002 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 8325941446 |
| Number of Group Practice Members | 160 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 381313 | ST CHARLES PRINEVILLE |
| 380040 | ST CHARLES REDMOND |
| 381305 | BLUE MOUNTAIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 | 5413897741 | 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 |
| 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 |
| Carolyn Elain Buel | Nurse Practitioner | Praxis Medical Group Inc | 1488 Oak St, Eugene, OR 97401-4043 |
| Street Address |
2450 NE MARY ROSE PL SUITE 210 |
| City | BEND |
| State | OR |
| Zip | 97701-7133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Potvin | Optometry | Infocus Eye Care LLC | 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701-7132 |
| Robert T Quinn Ii | Plastic and Reconstructive Surgery | 2450 Ne Mary Rose Pl, Suite 200, Bend, OR 97701-7133 | |
| Emily M Karben | Optometry | Infocus Eye Care LLC | 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701-7132 |
| Andrew P Higgins | General Surgery | 2450 Ne Mary Rose Pl, Suite 205, Bend, OR 97701-7132 | |
| Peter E Palacio | Obstetrics/gynecology | 2450 Ne Mary Rose Pl, Suite 220, Bend, OR 97701-7133 | |
| Michael J Mastrangelo Jr. | General Surgery | 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 | |
| Mayra E Dennis | Nurse Practitioner | Praxis Medical Group Inc | 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 |
| Craigan T Griffin | Neurology | Praxis Medical Group Inc | 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 |
| Meryl Sundy | Ophthalmology | Infocus Eye Care LLC | 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701-7132 |
| Francena D Abendroth | Neurology | Praxis Medical Group Inc | 2450 Ne Mary Rose Pl, Suite 210, Bend, OR 97701-7133 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria T Allen | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Mark K Spencer | Physician Assistant | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Kimberly Ann Kleaveland | Nurse Practitioner | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brent C Wesenberg | Emergency Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brett I Gingold | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Courtney Nicole Walker | Gastroenterology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Derek Beeson Smith | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Mary P Manfredi | Internal Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Ashley Moore Mcclary | Obstetrics/gynecology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Find all physicians in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| Specialty | NEUROLOGY |
| City + Specialty | BEND + NEUROLOGY |
Please comment or provide details below to improve the information on Jeremiah W Lanford.
| 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.