Paragon Orthopedic Center, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1148312-9 Issued in OR

Legal business name

PARAGON ORTHOPEDIC CENTER, PC

Practice address

702 Ramsey Ave
Ste 112
Grants Pass, OR 97527-5573

Phone

(541) 472-0603

Fax

(541) 472-0609

NPI assigned

May 31, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melony Kimmel

Title

Manager

Phone

(541) 472-0603

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1568465805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE",
            "address_2": "STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275858",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 RAMSEY AVE",
            "address_2": "STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275573",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON ORTHOPEDIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "MELONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-472-0603"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "1148312-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ7205",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286970",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Palmer, DC
• Cathlean Ann Palmer, RDH
• Elizabeth Meghan Palmer
• Sophia Panacy
• Jacob Papanicolas
• Emily Parent
• Adam Reginald Parker, QMHP-R, CTRS
• Alesha Parker
• Rachael Parker
• Tanisha Parker, LMT

• Orthopaedic Surgery Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.