Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. James P Prokos, PAC

Individual provider Physician Assistant · NPI 1093740961

Mr. James P Prokos, PAC is a Physician Assistant in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

515 W Jefferson St
Petoskey, MI 49770-2223
Phone: (231) 348-5622
Fax: (231) 348-5625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601003677 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601003677 (MI)

Record details

NPI number1093740961
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address515 W Jefferson St, Petoskey, MI 49770-2223

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