Proctor and Proctor PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD036068E Issued in PA

Legal business name

PROCTOR AND PROCTOR PC

Practice address

1227 Westside Ave
Honesdale, PA 18431-1715

Phone

(717) 263-2489

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Proctor, MD

Title

Pwner

Phone

(717) 263-2489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679650006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 WESTSIDE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311715",
            "telephone_number": "717-263-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 WESTSIDE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311715",
            "telephone_number": "717-263-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOR AND PROCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PWNER",
        "authorized_official_telephone_number": "717-263-2489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD036068E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.