PROHEALTH CARE MEDICAL ASSOCIATES INC (NPI# 1386897965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386897965 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Practice Address |
820 Summit Ave Oconomowoc WI 53066-3900 |
| Mailing Address |
N17w24100 Riverwood Dr Suite 150 Waukesha WI 53188-1177 |
| Practice Telephone | 2625670223 |
| Practice Fax Number | 2625676380 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | PETER T GEISS (PRESIDENT) |
| Authorized Official Telephone | 2629288669 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417085895 | Prohealth Care Medical Associates Inc | Family Medicine | 1306 W Wisconsin Ave, Suite 1002, Oconomowoc, WI 53066-2647 | 2007-02-28 |
| 1588706998 | Prohealth Care Medical Associates Inc | Pediatrics | 1260b Brown St, Oconomowoc, WI 53066-2491 | 2007-02-13 |
| 1396887709 | Prohealth Care Medical Associates Inc | Family Medicine | 700 Quinlan Dr, Pewaukee, WI 53072-1823 | 2007-02-13 |
| 1518009257 | Prohealth Care Medical Associates Inc | Obstetrics & Gynecology | 785 Summit Ave, Suite 203, Oconomowoc, WI 53066-3844 | 2007-02-12 |
| 1891836649 | Prohealth Care Medical Associates Inc | Pediatrics | 240 W. Maple Avenue, Mukwonago, WI 53149-8475 | 2007-02-12 |
| 1952695470 | Prohealth Care Medical Associates Inc | Family Medicine | 721 American Ave, Suite 410, Waukesha, WI 53188-5071 | 2011-06-01 |
| 1720371719 | Prohealth Care Medical Associates Inc | Internal Medicine | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2011-05-24 |
| 1043503030 | Prohealth Care Medical Associates Inc | Dermatology | N57w24950 N Corporate Cir, Sussex, WI 53089-4383 | 2011-05-24 |
| 1629225677 | Prohealth Care Medical Associates Inc | Family Medicine | 721 American Ave, Suite 310, Waukesha, WI 53188-5071 | 2008-08-21 |
| 1114068970 | Prohealth Care Medical Associates Inc | Family Medicine | S69w15636 Janesville Rd, Muskego, WI 53150-9330 | 2007-02-12 |
| Street Address |
820 SUMMIT AVE |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1033671912 | Edp of Wisconsin, Sc | Clinic/Center | 820 Summit Ave, Oconomowoc, WI 53066-3973 | 2019-04-01 |
| 1225205255 | Kristen Ann Vento | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates, Oconomowoc, WI 53066-3900 | 2008-05-09 |
| 1306970264 | James S Leaman | Dentist | 820 Summit Ave, Oconomowoc, WI 53066-3920 | 2007-03-15 |
| 1093849804 | Joseph M Setnicar | Dentist | 820 Summit Ave, Oconomowoc, WI 53066-3920 | 2007-03-15 |
| 1366576159 | Stacie A Piacsek | Dentist | 820 Summit Ave, Oconomowoc, WI 53066-3920 | 2007-03-15 |
| 1952357212 | Drs. Leaman, Setnicar & Piacsek, S.c. | Dentist | 820 Summit Ave, Oconomowoc, WI 53066-3920 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1417085895 | Prohealth Care Medical Associates Inc | Family Medicine | 1306 W Wisconsin Ave, Suite 1002, Oconomowoc, WI 53066-2647 | 2007-02-28 |
| 1417014531 | Michael Loyal Cummens | Family Medicine | 1803 N Davies Dr, Oconomowoc, WI 53066-9216 | 2007-01-02 |
| 1568579449 | Thomas F Winters | Family Medicine | 1284 N Summit Ave, Oconomowoc, WI 53066-4459 | 2006-08-24 |
| 1942262936 | John E Kelly | Family Medicine | 820 E Summit Ave, Oconomowoc, WI 53066-3920 | 2006-04-05 |
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1639155872 | Kyle J Kircher | Family Medicine | 888 Thackeray Trl, Suite 103, Oconomowoc, WI 53066-4342 | 2005-12-20 |
| 1770914384 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 | 2013-12-06 |
| 1508204355 | Midwest Health Services Inc | Family Medicine | 1370 Pabst Farms Cir, Suite 340a, Oconomowoc, WI 53066-4879 | 2013-06-13 |
| 1750727723 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 | 2013-05-17 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on PROHEALTH CARE MEDICAL ASSOCIATES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.