VISION OF HEALTH & FUNCTIONAL MEDICINE (NPI# 1871922757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871922757 |
| Entity Type | Organization |
| Organization Name | VISION OF HEALTH & FUNCTIONAL MEDICINE |
| Practice Address |
740 7th St Baldwin MI 49304-7895 |
| Practice Telephone | 2317459520 |
| Practice Fax Number | 2317459252 |
| Mailing Telephone | 2317459520 |
| Mailing Fax Number | 2317459252 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | DR. VERNON E. PROCTOR (PRESIDENT) |
| Authorized Official Telephone | 2317459250 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301089365 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OQ26239 | 05 |
| Street Address |
740 7TH ST |
| City | BALDWIN |
| State | MI |
| Zip Code | 49304-7895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592285 | Professional Dental Associates PC | Dentist | 888 Michigan Ave, Baldwin, MI 49304 | 2008-03-17 |
| 1437250941 | Pamela Sue Alley | Nurse Practitioner | 1234 Washington Ave, Vision of Health, Baldwin, MI 49304 | 2006-09-26 |
| 1902308463 | Baldwin Family Health Care | Clinic/Center | 1101 Washington St, Baldwin, MI 49304 | 2018-03-01 |
| 1528499233 | Lisa Joan West | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2013-12-05 |
| 1578713798 | Tracy Lynne Moody | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2008-09-24 |
| 1801016613 | Baldwin Family Health Care | Clinic/Center | 525 4th St, Baldwin, MI 49304 | 2007-04-26 |
| 1932248143 | John Carl Hodges | Counselor | 1615 Michigan Ave, Baldwin, MI 49304 | 2007-02-05 |
| 1467468819 | Maurice James Sutton | Dentist | 1615 Michigan Ave, Balduoin, MI 49304 | 2006-07-31 |
| 1376559724 | Oliver D Grin | Neurological Surgery | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-31 |
| 1508891813 | Stephen Kozak | Dentist | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-07-12 |
| Find all providers in zip 49304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740749886 | Christine R. Gonzalez | Specialist | 519 Wateredge Ave, Baldwin, NY 11510-3728 | 2019-03-18 |
| 1881188910 | Melissa Cooper-siegel | Specialist | 6 Maple Grove Ct, Baldwin, NY 11510-3107 | 2018-06-21 |
| 1417455676 | Lisa Marie Cogswell | Specialist | 2690 Wilddale Rd, Baldwin, NY 11510-4127 | 2018-01-23 |
| 1861920217 | Janice Mckie | Specialist | 1058 Northern Blvd, Baldwin, NY 11510-4919 | 2017-05-30 |
| 1497288229 | Gabriela Saavedra | Specialist | 2302 Rockwood Ave, Baldwin, NY 11510-3037 | 2017-04-08 |
| 1538521273 | Shaunette Sterling | Specialist | 3333 Milburn Ave, Baldwin, NY 11510-5146 | 2016-03-22 |
| 1558746891 | Joseph E Nunez | Specialist | 694 Parsonage St, Baldwin, NY 11510-4330 | 2015-07-28 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1033596994 | Megan Ann Kelly | Specialist | 3116 Ann St, Baldwin, NY 11510-4506 | 2015-04-29 |
| 1942626585 | Jessica Rios | Specialist | 2684 Park Ave, Baldwin, NY 11510-4145 | 2014-03-06 |
| Find all providers in BALDWIN | ||||
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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.