Donald Graham Prouty in Ithaca - Family Medicine
Donald Graham Prouty - NPI 1194765198
Donald Graham Prouty is a Family Medicine in Ithaca, Michigan. Donald Graham Prouty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Donald Graham Prouty is 1194765198. The last update date is 2022-12-15.
Donald Graham Prouty's current location address is 820 N Pine River St, Ithaca, Michigan. You can contact this provider via phone number 9898753722 and fax number 9898753732. The mailing address for Donald Graham Prouty is 820 N Pine River St, Ithaca, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Graham Prouty |
|---|---|
| Address | 820 N Pine River St, Ithaca, Michigan |
| Phone Number | 9898753722 |
| Fax Number | 9898753732 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194765198 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2022-12-15 |
Provider Mailing Address Detail
| Address | 820 N Pine River St |
|---|---|
| City | Ithaca |
| State | Michigan (MI) |
| Post Code | 48847 |
| Phone Number | 9898753722 |
| Fax Number | 9898753732 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301041429 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1009879 | MI | MCLAREN HEALTH PLAN | |
| 802900501 | MI | BCBSM | |
| 200000005847 | MI | PHP COMMERCIAL | |
| 983153 | MI | HEALTHPLUS COMMERCIAL | |
| 4563131-10 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Donald Graham Prouty by the Centers for Medicare & Medicaid Services?
The Donald Graham Prouty has been issued the NPI (National Provider Identifier) 1194765198, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Donald Graham Prouty's facilities are situated?
The facilities of Donald Graham Prouty are physically located at the following address: 820 N Pine River St, Ithaca, MI, 48847.
What is Donald Graham Prouty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Donald Graham Prouty is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194765198 to Donald Graham Prouty?
The Donald Graham Prouty received its 1194765198 assignment from the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details pertaining to Donald Graham Prouty last refreshed?
The information related to the Donald Graham Prouty, including its address, specialty, and other relevant details, was last updated on 2022-12-15.