Paul J Johnson (NPI# 1699774877, PAC ID# 8325034275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1699774877 |
| PAC ID by PECOS | 8325034275 |
| Professional Enrollment ID | I20100326000176 |
| Full Name | Paul J Johnson |
| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Address |
236 Nw Kingwood Ave Redmond OR 97756-1324 |
| Phone Number | 5415487134 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8325941446 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 381313 | ST CHARLES PRINEVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1001 Canal Blvd, Redmond, OR 97756 | 5415047635 | PRAXIS MEDICAL GROUP INC |
| 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 | 5415047635 | PRAXIS MEDICAL GROUP INC |
| 236 Nw Kingwood Ave, Redmond, OR 97756-1324 | 5415487134 | PRAXIS MEDICAL GROUP INC |
| 236 Nw Kingwood Ave, Internal Medicine Associates, Redmond, OR 97756-1324 | 5415487134 | PRAXIS MEDICAL GROUP INC |
| 354 W Adams, Sisters, OR 97759 | 5415499609 | 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 |
236 NW KINGWOOD AVE |
| City | REDMOND |
| State | OR |
| Zip | 97756-1324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew D Neeb | Urology | Praxis Medical Group Inc | 236 Nw Kingwood Ave, Internal Medicine Associates, Redmond, OR 97756-1324 |
| Michelle L Fitts | Physician Assistant | Praxis Medical Group Inc | 236 Nw Kingwood Ave, Internal Medicine Associates, Redmond, OR 97756-1324 |
| Timothy Krigbaum | Physician Assistant | Praxis Medical Group Inc | 236 Nw Kingwood Ave, Internal Medicine Associates, Redmond, OR 97756-1324 |
| Michelle A Hirschy | Nurse Practitioner | Praxis Medical Group Inc | 236 Nw Kingwood Ave, Internal Medicine Associates, Redmond, OR 97756-1324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Berg Kirkpatrick | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Chloe Kay Norris | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Bonnie Marie Dittmann | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Ellen K Schoenfelder | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Kevin T Miller | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Jonathan C Hitzman | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Danielle Kathryn Addleman | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Jacob Stephen Davison | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Katie J Cole | Physical Therapy | 2775 Sw 17th Pl, Suite 1, Redmond, OR 97756-1254 | |
| Michael P Thille | Chiropractic | Chiropractic Associates PC | 117 Nw Larch Ave, Redmond, OR 97756-1322 |
| Find all physicians in zip 97756 | |||
| City | REDMOND |
| Zip Code | 97756 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | REDMOND + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Paul J Johnson.
| 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.