PARAGON ORTHOPEDIC CENTER PC NPI 1568465805

NPI Information

  • NPI: 1568465805
  • Provider Name: PARAGON ORTHOPEDIC CENTER, PC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 702 RAMSEY AVE
    STE 112
    GRANTS PASS, OR
    ZIP 97527
  • Phone: (541) 472-0603

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NPI Details

PARAGON ORTHOPEDIC CENTER, PC is an orthopaedic surgery in Grants Pass, OR. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PARAGON ORTHOPEDIC CENTER, PC NPI is 1568465805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

702 RAMSEY AVE
STE 112
GRANTS PASS, OR
ZIP 97527-573
Phone: (541) 472-0603
Fax: (541) 472-0609

The provider's authorized official is Melony Kimmel .
The authorized official title is Manager and has the following contact phone number (541) 472-0603.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 2/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery1148312-9OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CJ7205OTHEROREGONMEDICARE RAILROAD
2111849MEDICARE ID-TYPE UNSPECIFIED
3286970MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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