DR. TODD B PROCTOR (NPI# 1316929250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316929250 |
| Entity Type | Individual |
| Full Name | DR. TODD B PROCTOR |
| Credential | MD |
| Practice Address |
2251 N Squirrel Rd Suite 105 Auburn Hills MI 48326-4600 |
| Practice Telephone | 2486488100 |
| Practice Fax Number | 2486488060 |
| Mailing Telephone | 2486488100 |
| Mailing Fax Number | 2486488060 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301054694 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3394295 | 05 | |
| BCBSM | 040631293 | 01 | |
| MI | MEDICARE GROUP # | 0M23890 | 01 |
| Street Address |
2251 N SQUIRREL RD SUITE 105 |
| City | AUBURN HILLS |
| State | MI |
| Zip Code | 48326-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740274737 | Amy Wright | Obstetrics & Gynecology | 2251 N Squirrel Rd, Suite 305, Auburn Hills, MI 48326-4600 | 2005-09-06 |
| 1093287179 | Susan M Daley | Speech-Language Pathologist | 2251 N Squirrel Rd, Auburn Hills, MI 48326-4600 | 2018-12-29 |
| 1457836603 | Robin Katharine Kirk | Physical Therapist | 2251 N Squirrel Rd, Auburn Hills, MI 48326-4600 | 2018-10-03 |
| 1033604194 | Brent Seegraves | Physical Therapist | 2251 N Squirrel Rd, Auburn Hills, MI 48326-4600 | 2018-06-29 |
| 1669962882 | Olga Voight | Speech-Language Pathologist | 2251 N Squirrel Rd, Auburn Hills, MI 48326-4600 | 2018-05-14 |
| 1386026581 | Kristen Kent | Obstetrics & Gynecology | 2251 N Squirrel Rd, Ste 305, Auburn Hills, MI 48326-4608 | 2015-06-24 |
| 1609293349 | Mary C Jordan | Obstetrics & Gynecology | 2251 N Squirrel Rd, Suite 305, Auburn Hills, MI 48326-4600 | 2014-03-19 |
| 1619217478 | Oakland Hills Dermatology PC | Dermatology | 2251 N Squirrel Rd, Suite 200, Auburn Hills, MI 48326-4600 | 2013-02-15 |
| 1659671030 | Mark Andrew Mcdaniel | Physical Therapist | 2251 N Squirrel Rd, Ste 301, Auburn Hills, MI 48326-4600 | 2010-11-01 |
| 1518147024 | Harold M. Koehler Dpm, PC | Podiatrist | 2251 N Squirrel Rd, Ste. 100, Auburn Hills, MI 48326-4600 | 2007-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256220 | Pdn Billing, LLC. | Home Health | 3165 Oxford West, Auburn Hills, MI 48326 | 2017-06-29 |
| 1326583238 | Doreen Lang | Contractor | 2384 E Walton Blvd, Auburn Hills, MI 48326 | 2016-12-31 |
| 1205282266 | Gomaa LLC | Pharmacy | 2191 South Blvd Ste 1b, Auburn Hills, MI 48326 | 2016-05-09 |
| 1346621430 | Georjeana Dillard-parker | Social Worker | 620 Sheffield Road, Auburn Hilla, MI 48326 | 2015-06-15 |
| 1205213188 | Alison Elizabeth Lindensmith | Social Worker | 2239 E Walton Blvd, Auburn Hills, MI 48326 | 2015-04-30 |
| 1679912141 | Deborah Lynn Mckeever | Registered Nurse | 165 S. Opdyke Rd., Lot 217, Auburn Hills, MI 48326 | 2013-06-18 |
| 1790033231 | Bridget Green | Counselor | 2387 Walton Blvd, Easter Seals, Auburn Hills, MI 48326 | 2012-08-15 |
| 1205106614 | Sally S. Barbat | Psychologist | 691 N Squirrel Rd Ste 115, Auburn Hills, MI 48326 | 2012-01-03 |
| 1124315403 | Emanuela A Popa | Pharmacist | 2564 N Squirrel Rd, Ap#162, Auburn Hills, MI 48326 | 2011-07-07 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| Find all providers in zip 48326 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659421048 | Proctor Ent Plc | Otolaryngology | 2251 N Squirrel Rd, Suite 105, Auburn Hills, MI 48326-4600 | 2007-01-10 |
| 1841271624 | Conrad A Proctor | Otolaryngology | 2251 N Squirrel Rd, Suite 105, Auburn Hills, MI 48326-4600 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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| City | AUBURN HILLS |
| Zip Code | 48326 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.