DAVID N PROCKNOW (NPI# 1780752782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780752782 |
Entity Type | Individual |
Full Name | DAVID N PROCKNOW |
Credential | MD |
Practice Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1257 |
Practice Telephone | 5414713455 |
Enumeration Date | 2006-11-30 |
Last Update Date | 2019-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | MD16495 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 028642 | 05 |
Street Address |
1701 NW HAWTHORNE AVE |
City | GRANTS PASS |
State | OR |
Zip Code | 97526-1257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740272285 | Kristin Miller | Family Medicine | 1701 Nw Hawthorne Ave, Suite 201, Grants Pass, OR 97526-1257 | 2005-08-19 |
1245846922 | Allison Mae Swanson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2020-09-18 |
1649821216 | Jodi Michelle Bostwick | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2019-09-25 |
1063998730 | Donald Ray Draper | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2018-07-16 |
1427563337 | Andrew Martin | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-12-14 |
1528581550 | Lauren Smith | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-07-21 |
1063958924 | Amy Tripp | Dental Hygienist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2017-01-16 |
1619428208 | Christopher Robert Cielinski | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2016-10-18 |
1275081184 | Paloma Sita Kolkow | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-09-20 |
1780034629 | Devin Nelson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-06-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
Find all providers in zip 97526 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124107669 | Douglas J Howard | Emergency Medicine | 500 S.w. Ramsey Avenue, Grants Pass, OR 97527 | 2006-11-03 |
1104938737 | Eric J Loeliger | Emergency Medicine | 500 Sw Ramsey Avenue, Grants Pass, OR 97527-5554 | 2006-08-31 |
1437503695 | Alexander Scott Miller | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2016-04-14 |
1821475757 | Ian Seong Ho Buchanan | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527 | 2015-04-29 |
1780070979 | Jeremy T Rohrlich | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2015-04-14 |
1942643077 | Matthew Beeson | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2013-04-08 |
1720344310 | Lee Cunningham | Emergency Medicine | 500 Sw Ramsey Avenue, Grants Pass, OR 97527-5554 | 2012-04-08 |
1316235716 | Reuven Singer | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2011-07-19 |
1700175239 | Marta Elisabeth Lewis | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2011-04-05 |
1982993416 | Drew Jason Lewis | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2011-04-05 |
Find all providers in GRANTS PASS |
City | GRANTS PASS |
Zip Code | 97526 |
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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.