| 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 | 10 Years |
| Location | 800 Pheasant Woods Drive, Canton, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sjmhs Anesthesia Services | 7416053483 | 98 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| 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 |