PROHEALTH CARE MEDICAL ASSOCIATES INC (NPI# 1588706998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588706998 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Practice Address |
1260b Brown St Oconomowoc WI 53066-2491 |
| Mailing Address |
N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 |
| Practice Telephone | 2625692424 |
| Practice Fax Number | 2625692111 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2007-02-13 |
| 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 |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21295700 | 05 | |
| WI | DME | 0505180010 | 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 |
| 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 |
| 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 |
1260B BROWN ST |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-2491 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720351919 | Lake Country Private Medical, S.c. | Internal Medicine | 1185 Corporate Center Dr Ste 300, Oconomowoc, WI 53066-4887 | 2012-02-17 |
| 1760621809 | Julius T. Breyer | Internal Medicine | 34304 Sunset Dr, Oconomowoc, WI 53066-8732 | 2009-02-12 |
| 1073706495 | Murrad Abdelkarim | Internal Medicine | 1185 Corporate Center Dr Ste 350, Prohealth Care Medical Associates Inc., Oconomowoc, WI 53066-4888 | 2007-08-20 |
| 1073628509 | Jaswinder Sidhu | Internal Medicine | 1085 Corporate Center Dr, Suite 175, Oconomowoc, WI 53066-4845 | 2006-08-21 |
| 1144292723 | Michael G. O'mara | Internal Medicine | 888 Thackeray Trail, Oconomowoc Medical Clinic, Oconomowoc, WI 53066 | 2006-02-07 |
| 1154393833 | Brenda L. Boschek | Internal Medicine | 1185 Corporate Center Drive, Prohealth Care Medical Associates, Inc., Oconomowoc, WI 53066-4887 | 2006-02-06 |
| 1770959462 | Gerald J. Kallas | Internal Medicine | 1437 N Summit Ave, Oconomowoc, WI 53066-9461 | 2015-08-17 |
| 1649594508 | Waukesha Health Care, Inc. | Internal Medicine | 1306 W Wisconsin Ave, Oconomowoc, WI 53066-2647 | 2010-03-22 |
| 1659404812 | Mark J Lewis Md Plc | Internal Medicine | 1185 Corporate Center Dr, Oconomowoc, WI 53066-4887 | 2007-03-14 |
| 1821193491 | Michelle A. Bensen | Internal Medicine | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2006-09-14 |
| 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.