Individual provider Active NPI

John Hartman Proctor, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1407376239
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.138026 Issued in OH
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

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2565399MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200519002972 OH Practitioner - Family Practice 7416388806 Reassigns benefits to 2 organizations
I20200824003669 KY Practitioner - Family Practice 7416388806 Reassigns benefits to 1 organization

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
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

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

LicenseStateTypeSpecialty
35.138026OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Summit Medical Group, Inc Family Medicine Current Accepting new patients
Trihealth H LLC CurrentSince May 24, 2023 Accepting new patients
Summit Medical Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Jul 2, 2020 Accepting new patients
Trihealth G, LLC CurrentSince Jul 2, 2020 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

  • Direct secure messaging: jproctor308423@direct.trihealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.