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PROHEALTH MEDICAL GROUP INC NPI 1790720613


NPI Information

NPI: 1790720613
Provider Name: PROHEALTH MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
N17W24100 RIVERWOOD DR
PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI
ZIP 53188
Phone: (262) 928-4100
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PROHEALTH MEDICAL GROUP INC is a family medicine in Waukesha, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROHEALTH MEDICAL GROUP INC NPI is 1790720613. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

N17W24100 RIVERWOOD DR
PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI
ZIP 53188-177
Phone: (262) 928-4100
Fax: (262) 928-5835

The provider's authorized official is Peter Geiss, Md .
The authorized official title is President and has the following contact phone number (262) 928-8669.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 5/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyNo
2207RH0003XInternal MedicineHematology & OncologyNo
3207N00000XDermatologyNo
4207R00000XInternal MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RX0202XInternal MedicineMedical OncologyNo
7207V00000XObstetrics & GynecologyNo
8208100000XPhysical Medicine & RehabilitationNo
9208M00000XHospitalistNo
10208000000XPediatricsNo
11207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.