Vision of Health & Functional Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301089365 Issued in MI

Legal business name

VISION OF HEALTH & FUNCTIONAL MEDICINE

Practice address

740 7TH St
Baldwin, MI 49304-7895

Phone

(231) 745-9520

Fax

(231) 745-9252

NPI assigned

Nov 1, 2013

Last updated

Nov 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vernon E. Proctor, M.D.NPI 1225215783

Title

President

Phone

(231) 745-9250

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vernon Eugene Proctor, M. D.

  • Obstetrics & Gynecology Physician
  • Baldwin, MI
  • NPI 1225215783
  NPD (past) Authorized official

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1871922757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 7TH ST",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047895",
            "telephone_number": "231-745-9520",
            "fax_number": "231-745-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 7TH ST",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047895",
            "telephone_number": "231-745-9520",
            "fax_number": "231-745-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OF HEALTH & FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-745-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301089365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OQ26239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew J Steel, PA
• Cathy Sullivan, LMSW
• Lisa Marie Thebo
• Yaying Tian, R.D.
• Denise Marie Tinkham, SOCIAL WORKER REGIST
• Vision of Health and Functional Medicine PC
• Vision of Health LLC
• Alicia Marie Waganfeald, PTA
• Anika Waltonstanciel
• Eric G Weeks, D.O.

• Specialist in Baldwin, MI
• Providers in Baldwin, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.