DONALD G PROUTY
NPI 1164309175
Family Medicine in Ithaca, MI

Active since August 20, 2025
820 N PINE RIVER ST, ITHACA, MI 48847(989) 875-3722(989) 875-3732 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald G Prouty NPPES

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

DONALD G PROUTY (NPI 1164309175), 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 August 2025. The organization lists Donald Graham Prouty, Owner, as its authorized official.

NPPES Registry Identity

NPI1164309175
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) 875-3722 · Fax (989) 875-3732
Fax(989) 875-3732
Organization SubpartNo
Authorized OfficialDonald Graham ProutyOwner · (989) 875-4465
Enumeration DateAugust 20, 2025
NPPES CertifiedJuly 17, 2025
NPI 1164309175 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

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

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.

Family Medicine
820 N PINE RIVER ST
ITHACA, MI 48847
Family Medicine
820 N PINE RIVER ST
ITHACA, MI 48847
Clinic/Center (Rural Health)
820 N PINE RIVER ST
ITHACA, MI 48847
Physician Assistant
820 N PINE RIVER ST
ITHACA, MI 48847
Family Medicine
820 N PINE RIVER ST
ITHACA, MI 48847

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 1164309175. It was assigned to this organization in the NPPES registry on August 20, 2025. 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) 875-3722.

What is Donald G Prouty's specialty?

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

When was this NPI record last updated?

The NPPES record for Donald G Prouty was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.