Todd A Pryor, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101009393 Issued in MI

Practice address

418 Washington St
Lakeview, MI 48850-9806

Phone

(989) 352-7211

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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.

• Central Michigan Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Big Rapids, MI
  • NPI 1598856734

  Emergency Medicine

  NPD (past)
• Mercy Urgent Care

  • Urgent Care Clinic/Center
  • Muskegon, MI
  • NPI 1861432692

  Emergency Medicine

  NPD (past)
• Michigan Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Dowagiac, MI
  • NPI 1588603484

  Emergency Medicine

  NPD (past)
• Sterling Emergency Services of Michigan, Inc.

  • Emergency Medicine Physician
  • Dowagiac, MI
  • NPI 1871653360

  Emergency Medicine

  NPD (past)
• West Michigan Rehab PLLC

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1851588859
  NPD (past)
• Town of Superior

  • Ambulance
  • Superior, AZ
  • NPI 1538230016
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2011.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1629090907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3567",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013567",
            "telephone_number": "616-975-1845",
            "fax_number": "616-285-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WASHINGTON ST",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509806",
            "telephone_number": "989-352-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101009393",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "5101009393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00389049",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114517587",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F71000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7000A410180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary R Padden, D.C.
• Tiffany Rae Padden, D.C.
• Heather Parker, LPN
• Larry James Pepper, DO
• Elana Powell
• Lory Michelle Read, DO
• Chelsea Rose Sack
• Lawrence W Schenden, MD
• Philip E Schumacher, DO
• Theresa Louise Scofield

• All providers in Lakeview, MI
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.