JOHN PROCTOR


Address: 24681 Northwestern Hwy, Ste. 100, Southfield, MI 48075-2305
Phone: 2483522000

JOHN PROCTOR (NPI# 1780749374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780749374
Entity Type Individual
Full Name JOHN PROCTOR
Credential MD
Practice Address 24681 Northwestern Hwy
Ste. 100
Southfield
MI 48075-2305
Mailing Address Po Box 1500
Novi
MI 48376-1500
Practice Telephone 2483522000
Practice Fax Number 2483241477
Mailing Telephone 2483240700
Mailing Fax Number 2483241477
Enumeration Date 2006-12-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207R00000X Internal Medicine 4301025113 MI Allopathic & Osteopathic Physicians
X 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301025113 MI Allopathic & Osteopathic Physicians
X 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301025113 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4953351 05

Other Providers JOHN PROCTOR

NPI Name Taxonomy Address Enumeration
1932527108 John Proctor Physician Assistant 1210 W Shawnee Dr, Chandler, AZ 85224-2369 2014-04-03
1407376239 John Hartman Proctor Family Medicine 6331 Glenway Ave, Cincinnati, OH 45211-6301 2017-06-22
1922546662 John Proctor Counselor 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 2017-02-02
1316191588 John Kenneth Proctor Counselor 6519 8th Ave, Los Angeles, CA 90043-4313 2008-11-13
1679511471 John H. Proctor Emergency Medicine 391 Wallace Rd, Nashville, TN 37211-4851 2006-06-03

Office Location

Street Address 24681 NORTHWESTERN HWY
STE. 100
City SOUTHFIELD
State MI
Zip Code 48075-2305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386623932 Pedro Dumadag Family Medicine 24681 Northwestern Hwy, Ste. 200, Southfield, MI 48075-2305 2006-01-12
1134736465 Toby Marzicola Behavior Technician 24681 Northwestern Hwy, Southfield, MI 48075-2305 2020-09-30
1285241737 Julie Bishop Behavior Technician 24681 Northwestern Hwy, Southfield, MI 48075-2305 2020-09-29
1467066902 Erica Blankenship Behavior Technician 24681 Northwestern Hwy, Southfield, MI 48075-2305 2020-09-02
1285247007 Erin Stahlbuck Behavior Technician 24681 Northwestern Hwy, Southfield, MI 48075-2305 2020-08-31
1689282154 Cole Friedman Behavior Technician 24681 Northwestern Hwy, Southfield, MI 48075-2305 2020-07-21
1629639992 Alan Leroy Mcbroom Social Worker 24681 Northwestern Hwy, Ste 3001, Southfield, MI 48075-2305 2019-06-26
1033601554 Jaspal Kaur Physical Therapist 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 2018-05-31
1891227732 Larochelle Cook-wilcox Social Worker 24681 Northwestern Hwy, Suite D, Southfield, MI 48075-2305 2017-03-30
1194264598 Karing Handz LLC Social Worker 24681 Northwestern Hwy, Suite D, Southfield, MI 48075-2305 2017-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910687 Berry Johnson Health Pllc Internal Medicine 30123 Rock Creek Dr, Southfield, MI 48076-5358 2020-10-24
1063036960 Hawra Kamal Internal Medicine Academic Internal Medicine 22250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-05
1578187175 Brittni Mcclellan Internal Medicine 16001 W 9 Mile Rd # Rs, Southfield, MI 48075-4818 2020-05-31
1841811882 Humza Medical Md PC Internal Medicine 27207 Lahser Suite 200b, Southfield, MI 48034-8407 2020-04-30
1487168001 Us Knee Center Pllc Internal Medicine 24901 Northwestern Hwy Ste 113, Southfield, MI 48075-2200 2017-11-17
1427576636 Comfort Care Center Corp Internal Medicine 15565 Northland Dr E Ste 204, Southfield, MI 48075 2017-09-07
1609391382 Excellence Home Physicians Internal Medicine 16910 W 10 Mile Rd Ste 105, Southfield, MI 48075-2900 2017-08-03
1598112567 Ark Multispecialty Physicians Pllc Internal Medicine 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 2016-05-19
1659756005 Haseeb Aslam Internal Medicine 16001 West Nile Mile Road Fisher Center, 401, Southfield, MI 48075 2015-07-28
1548643562 Erin Goldman Internal Medicine 16001 W Nine Mile Road, Providence Hospital Medical Ctr. Grad Med Education, Southfield, MI 48075 2015-07-08
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

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.

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