Mr Andrew Joseph Proctor, | |
800 Pheasant Woods Drive, Canton, MI 48188-5224 | |
(734) 812-1311 | |
Not Available |
Full Name | Mr Andrew Joseph Proctor |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 800 Pheasant Woods Drive, Canton, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952841637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704267973 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Beaumont Hospital - Wayne | Wayne, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sjmhs Anesthesia Services | 7416053483 | 99 |
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Entity Name | Huron Gastroenterology Associates P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144335639 PECOS PAC ID: 0840288221 Enrollment ID: O20040504001055 |
Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
Entity Name | Center For Digestive Care Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1164528527 PECOS PAC ID: 4981658374 Enrollment ID: O20050309000185 |
Entity Name | Sjmhs Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215026281 PECOS PAC ID: 7416053483 Enrollment ID: O20070508000487 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Mr Andrew Joseph Proctor, 800 Pheasant Woods Dr, Canton, MI 48188-5224 Ph: (734) 812-1311 | Mr Andrew Joseph Proctor, 800 Pheasant Woods Drive, Canton, MI 48188-5224 Ph: (734) 812-1311 |