Active NPI
Praxis Health, PC
- Durable Medical Equipment & Medical Supplies
- Eugene, OR
National Provider Identifier
1578111399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRAXIS HEALTH, PC
- Doing business as
- Eugene Endocrinology
- Practice address
- 10 Coburg Rd.
Suite 201
Eugene, OR 97401-7487 - Phone
- (541) 485-3636
- Fax
- (541) 344-4305
- NPI assigned
- Aug 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica M Reagan
- Title
- Revenue Cycle Director
- Phone
- (541) 966-6136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10 Coburg Rd.
Suite 201
Eugene, OR 97401-7487
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130225 | Medicaid | OR |
Other names 2
- Eugene Endocrinology
- Praxis Medical Group Inc
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1578111399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010410",
"telephone_number": "877-708-1119",
"fax_number": "541-278-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 COBURG RD.",
"address_2": "SUITE 201",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017487",
"telephone_number": "541-485-3636",
"fax_number": "541-344-4305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAXIS HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "REAGAN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "541-966-6136"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130225",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eugene Endocrinology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eugene Endocrinology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Praxis Medical Group Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.