OrganizationActive
Donald G Prouty
NPI 1164012019 · Family Medicine Physician · Ithaca, MI
Donald G Prouty is a Family Medicine Physician organization in Ithaca, MI (NPI 1164012019).
Provider details
- NPI number
- 1164012019
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Prouty, Owner(989) 330-1492
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 N Pine River St
Ithaca, MI 48847-1118
Phone: (989) 330-1492
Street-level locationGet directions
Mailing address
820 N Pine River St
Ithaca, MI 48847-1118
Other names (DBA / former)
- Doing business as
- Ithaca Family Practice
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Frequently asked questions
- What is Donald G Prouty's NPI number?
- Donald G Prouty's National Provider Identifier (NPI) is 1164012019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Donald G Prouty?
- Donald G Prouty is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Donald G Prouty located?
- Donald G Prouty's practice location on file with NPPES is 820 N Pine River St, Ithaca, MI 48847-1118.
- What is Donald G Prouty's phone number?
- The practice phone number listed in the NPPES registry for Donald G Prouty is (989) 330-1492.
- Who is the authorized official for Donald G Prouty?
- The authorized official listed on Donald G Prouty's NPPES record is Donald Prouty, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Donald G Prouty's NPI active?
- Yes — Donald G Prouty's NPI (1164012019) is active in the NPPES registry as of the last update on 2021-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.