PROHEALTH CARE MEDICAL ASSOCIATES INC (NPI# 1518009257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518009257 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Practice Address |
785 Summit Ave Suite 203 Oconomowoc WI 53066-3844 |
| Mailing Address |
N17 W24100 Riverwood Dr. Suite 250 Waukesha WI 53188-1131 |
| Practice Telephone | 2625698488 |
| Practice Fax Number | 2625692775 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | PETER GEISS, MD (PRESIDENT) |
| Authorized Official Telephone | 2629288669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32870200 | 05 | |
| WI | DME | 0505180014 | 01 |
| 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 |
| 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 |
| 1386897965 | Prohealth Care Medical Associates Inc | Family Medicine | 820 Summit Ave, Oconomowoc, WI 53066-3900 | 2008-10-28 |
| 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 |
785 SUMMIT AVE SUITE 203 |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457551764 | Jodi L Wiebelhaus | Nurse Practitioner | 785 Summit Ave, Oconomowoc, WI 53066-3844 | 2007-07-24 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912246323 | Jill P Wohlfeil Md Sc | Obstetrics & Gynecology | W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 | 2013-02-05 |
| 1972602852 | Sarit O. Aschkenazi-steinberg | Obstetrics & Gynecology | 785 Summit Ave Ste 101, Prohealth Care Women's Center, Oconomowoc, WI 53066-3844 | 2006-09-21 |
| 1326155524 | Patrick J Sims | Obstetrics & Gynecology | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-24 |
| 1962517128 | Joann C Dudley | Obstetrics & Gynecology | 915 Summit Ave, Oconomowoc, WI 53066-3921 | 2006-08-20 |
| 1740395730 | Alan E Gustin | Obstetrics & Gynecology | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-20 |
| 1770556839 | Suzanne C. Schmidt | Obstetrics & Gynecology | W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326562 | Trudy Malone | Obstetrics & Gynecology | N30w29293 Hillcrest Dr, Pewaukee, WI 53072-3235 | 2019-03-24 |
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1407218894 | Caroline Eleonora Bednarski | Obstetrics & Gynecology | 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 | 2016-03-24 |
| 1992162929 | Hudson Physicians, S.c | Obstetrics & Gynecology | 1617 E Division St Ste 100, River Falls, WI 54022-1571 | 2016-01-21 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1063809416 | Tyler Boschuetz | Obstetrics & Gynecology | 19475 W North Ave Ste 400, Brookfield, WI 53045-4199 | 2015-04-23 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1659766277 | Brandon Kuchta | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 501, West Allis, WI 53227-2470 | 2015-03-31 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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| 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.