DR. DONALD PROCTOR (NPI# 1043219405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043219405 |
| Entity Type | Individual |
| Full Name | DR. DONALD PROCTOR |
| Credential | M.D. |
| Practice Address |
1325 36th St Suite A Vero Beach FL 32960-6599 |
| Mailing Address |
2206 E Ocean Oaks Ln Vero Beach FL 32963-3104 |
| Practice Telephone | 7725671164 |
| Practice Fax Number | 7727700799 |
| Mailing Telephone | 7725671164 |
| Mailing Fax Number | 7727700799 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME0064734 | FL | Allopathic & Osteopathic Physicians |
| X | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
ME0064734 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS | 28426 | 01 |
| Street Address |
1325 36TH ST SUITE A |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-6599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045014 | Grove Place Surgery Center,llc | Clinic/Center | 1325 36th St, Vero Beach, FL 32960-6599 | 2005-07-07 |
| 1730732355 | Beachland Anesthesia Pllc | Anesthesiology | 1325 36th St, Vero Beach, FL 32960-6599 | 2019-07-23 |
| 1427414168 | Selectskinmd LLC | Dermatology | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2016-01-11 |
| 1144694688 | Vero Ent Associates LLC | Hearing Aid Equipment | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2015-11-20 |
| 1902279300 | Indian River Surgery Center, Ltd. | Clinic/Center | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2015-11-06 |
| 1033521489 | Kate Rose Conroy | Audiologist | 1325 36th St, Ste. A, Vero Beach, FL 32960-6599 | 2014-05-20 |
| 1235550104 | Bretton Perez Jenks | Speech-Language Pathologist | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2013-12-19 |
| 1275753709 | Alexis L Riley | Audiologist | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2007-04-26 |
| 1700923190 | Face Center of Vero Plc | Otolaryngology | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2007-02-01 |
| 1598818411 | Vero Ent Associates LLC | Specialist | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427216936 | Leavitt Medical Associates of Florida Inc | Dermatology | 49 Royal Palm Pt Ste 100, Vero Beach, FL 32960-4270 | 2008-05-30 |
| 1750387403 | Robert J. Loewinger | Dermatology | 49 Royal Palm Pt, Ste 100, Vero Beach, FL 32960-4270 | 2005-06-27 |
| 1427414168 | Selectskinmd LLC | Dermatology | 1325 36th St, Suite A, Vero Beach, FL 32960-6599 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on DR. DONALD PROCTOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.