Active NPI
John Hartman Proctor, MD
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.138026
- Practice address
- 3425 N Bend Rd
Cincinnati, OH 45239-7660 - Phone
- (513) 389-4100
- Fax
- (513) 389-7009
- NPI assigned
- Jun 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53851 | KY | |
| Family Medicine Physician | 207Q00000X | 35.138026 | OH | Primary |
Addresses
Primary practice location
3425 N Bend Rd
Cincinnati, OH 45239-7660
Mailing address
3425 N Bend Rd
Cincinnati, OH 45239-7660
Phone (513) 389-4100
Other practice location 1
8726 US Highway 42
Florence, KY 41042-8550
Phone (859) 384-2660
Other practice location 2
4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 301-8074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-7700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.138026 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Trihealth H LLC | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Trihealth G LLC | Family Medicine | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients |
Locations
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
6331 Glenway Ave
Cincinnati, OH 45211
Phone (513) 389-1400
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
7991 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 346-3399
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
3425 North Bend Rd
Cincinnati, OH 45239
Phone (513) 389-1067
Interoperability endpoints
- jproctor308423@direct.trihealth.com
- jproctor205659@direct-prd.stelizabeth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Urgent Care Clinic/Center
- Highland Heights, KY
- NPI 1881026169
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Crestview Hills, KY
- NPI 1215940093
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- Home Health Agency
- Florence, KY
- NPI 1316136534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1407376239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 N BEND RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397660",
"telephone_number": "513-389-4100",
"fax_number": "513-389-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 N BEND RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397660",
"telephone_number": "513-389-4100",
"fax_number": "513-389-7009"
}
],
"practiceLocations": [
{
"address_1": "8726 US Highway 42",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410428550",
"country_code": "US",
"telephone_number": "859-384-2660",
"fax_number": "859-384-5248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Houston Rd",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410424824",
"country_code": "US",
"telephone_number": "859-301-8074",
"fax_number": "859-301-4945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCTOR",
"first_name": "JOHN",
"middle_name": "HARTMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "53851",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.138026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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- Tara C Proano-Raps, PSY.D
- Diane L. Proctor, RN, CNS
- Kristen Proctor, PHARMD.
- Prodigious Healthcare
- Professional Diagnostic Services LLC
- Professional Imaging & Teleradiology Services
- Professional Pastoral- Counseling Inst. Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.