Vernon Eugene Proctor, M. D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00049285 Issued in WA

Practice address

1234 Washington St
Baldwin, MI 49304-7737

Phone

(231) 745-4914

Fax

(231) 745-4922

NPI assigned

Jan 28, 2008

Last updated

Nov 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision of Health & Functional Medicine

  • Specialist
  • Baldwin, MI
  • NPI 1871922757
  NPD (past) Authorized official
• Vision of Health and Functional Medicine PC

  • General Practice Physician
  • Baldwin, MI
  • NPI 1366761520
  Authorized official Same address or phone
• Grand Rapids Addiction Medicine Specialists PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1780642355
  NPD (past)
• Vision of Health LLC

  • Internal Medicine Physician
  • Baldwin, MI
  • NPI 1396758272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1225215783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WASHINGTON ST",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047737",
            "telephone_number": "231-745-4914",
            "fax_number": "231-745-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WASHINGTON ST",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047737",
            "telephone_number": "231-745-4914",
            "fax_number": "231-745-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "VERNON",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00049285",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301089365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0Q26239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hien Thanh-Le Nguyen, PHARM.D
• Julie Ann Nieboer
• Wanda Jean Ottinger, PA-C
• Pattie Drug of Baldwin Inc (Pattie Drug)
• Jodie Marie Phillips, BSW
• Professional Dental Associates PC
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Incorporated Mi
• Mark J Rajewski, D.D.S.
• Virginia Maria Ramos, LMSW

• Obstetrics & Gynecology Physician in Baldwin, MI
• Providers in Baldwin, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.