Donald G Prouty
Donald G Prouty is a healthcare organization registered as Family Medicine Physician in Ithaca, MI, holding Type 2 (organization) NPI 1164012019 since 2021. The authorized official on file is Donald Prouty, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164012019 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Donald G Prouty |
| Practice address | 820 N PINE RIVER ST, Ithaca, MI, 48847 |
| Phone | 9893301492 |
| Enumeration date | 2021-01-25 |
| Last updated in NPPES | 2021-02-05 |
Authorized official
| Name | Donald Prouty |
|---|---|
| Title | Owner |
| Phone | 9893301492 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Donald G Prouty NPI: 1164012019 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 820 N PINE RIVER ST, Ithaca, MI, 48847
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194765198 | Donald Prouty | Individual | Family Medicine Physician | Ithaca, MI |
| 1508896523 | Catherine Chimo | Individual | Physician Assistant | Ithaca, MI |
| 1679506851 | Mymichigan Medical Center Alma | Organization | Family Medicine Physician | Ithaca, MI |
| 1386930956 | Mymichigan Medical Center Alma | Organization | Rural Health Clinic/Center | Ithaca, MI |
| 1164309175 | Donald G Prouty | Organization | Family Medicine Physician | Ithaca, MI |
Verify this record
Cross-check NPI 1164012019 against the authoritative CMS record: view Donald G Prouty on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Donald G Prouty?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-02-05.