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DONALD G PROUTY
NPI 1164012019
Family Medicine in Ithaca, MI

Active since January 25, 2021
820 N PINE RIVER ST, ITHACA, MI 48847(989) 330-1492 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Jan 25, 2021 (2 updates tracked since 2021).

About Donald G Prouty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD G PROUTY (NPI 1164012019), doing business as Ithaca Family Practice, is a healthcare organization registered as a family medicine in Ithaca, Michigan and active in the NPI registry since January 2021. The organization lists Donald G Prouty, Owner, as its authorized official.

NPPES Registry Identity

NPI1164012019
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDONALD G PROUTY
Location Address820 N PINE RIVER STIthaca, MI 48847-1118
Mailing Address820 N Pine River StIthaca, MI 48847-1118 · (989) 330-1492
Phone(989) 330-1492
Organization SubpartNo
Authorized OfficialDonald G ProutyOwner · (989) 330-1492
Enumeration DateJanuary 25, 2021
Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1164012019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 N PINE RIVER ST, Ithaca, MI 48847
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Other Names 1

Doing Business AsIthaca Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD G PROUTY
Family Medicine
820 N PINE RIVER ST
ITHACA, MI 48847
Gratiot County (989) 875-3722
MR. DONALD GRAHAM PROUTY M.D.
Family Medicine
820 N PINE RIVER ST
ITHACA, MI 48847
Gratiot County (989) 875-3722
MYMICHIGAN MEDICAL CENTER ALMA
Clinic/Center (Rural Health)
820 N PINE RIVER ST
ITHACA, MI 48847
Gratiot County (989) 875-3722
CATHERINE MARIE CHIMO PA
Physician Assistant
820 N PINE RIVER ST
ITHACA, MI 48847
Gratiot County (989) 875-3722
MYMICHIGAN MEDICAL CENTER ALMA
Family Medicine
820 N PINE RIVER ST
ITHACA, MI 48847
Gratiot County (989) 875-3722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald G Prouty's NPI number?

The NPI number for Donald G Prouty is 1164012019. It was assigned to this organization in the NPPES registry on January 25, 2021. The provider is doing business as Ithaca Family Practice.

Where is Donald G Prouty located?

Donald G Prouty is located at 820 N Pine River St, Ithaca, MI 48847. The listed phone number is (989) 330-1492.

What is Donald G Prouty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Donald G Prouty accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Donald G Prouty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald G Prouty was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.