PROHEALTH CARE MEDICAL ASSOCIATES INC (NPI# 1629225677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629225677 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Practice Address |
721 American Ave Suite 310 Waukesha WI 53188-5071 |
| Mailing Address |
N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 |
| Practice Telephone | 2629284880 |
| Practice Fax Number | 2625478820 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2008-08-21 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DME | 0505180013 | 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 |
| 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 |
| 1114068970 | Prohealth Care Medical Associates Inc | Family Medicine | S69w15636 Janesville Rd, Muskego, WI 53150-9330 | 2007-02-12 |
| Street Address |
721 AMERICAN AVE SUITE 310 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987987 | Patrick R Helfenbein | Psychiatry & Neurology | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2005-07-28 |
| 1407397938 | Ryan Sershon | Counselor | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2017-03-16 |
| 1346780038 | Elena Striepling | Nurse Practitioner | 721 American Ave, Ste 508, Waukesha, WI 53188-5071 | 2017-03-01 |
| 1003268277 | Stephanie Pattengale | Counselor | 721 American Ave, Ste 501, Waukesha, WI 53188-5071 | 2016-07-12 |
| 1295103000 | Kara Pierce | Counselor | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2015-09-10 |
| 1538542519 | Andrew C Kennedy | Physician Assistant | 721 American Ave, Suite 510, Waukesha, WI 53188-5071 | 2015-07-08 |
| 1700271822 | Jill High | Nurse Practitioner | 721 American Ave, Suite 410, Waukesha, WI 53188-5071 | 2015-04-06 |
| 1073906384 | Arlene L Marcell | Nurse Practitioner | 721 American Ave, Suite 403, Waukesha, WI 53188-5071 | 2015-03-11 |
| 1174937882 | Rebecca M Kinnunen | Social Worker | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2014-06-20 |
| 1578977831 | Jonathan Nolte | Counselor | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1306376314 | Eric Paul Kuehn | Family Medicine | 210 Nw Barstow St Ste 210, Waukesha, WI 53188-3771 | 2017-06-13 |
| 1427504802 | Paladina Health, LLC | Family Medicine | 402 Travis Ln, #67, Waukesha, WI 53189-5011 | 2016-08-26 |
| 1720440019 | Heather Koch Harrison | Family Medicine | 210 Nw Barstow St Ste 201, Waukesha, WI 53188-3771 | 2016-03-24 |
| 1174535470 | Punnoose Mackiel | Family Medicine | 1240 Ridge Rd, Waukesha, WI 53186-1425 | 2006-08-13 |
| 1851300933 | Glenn Toth | Family Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2006-08-06 |
| 1689647406 | Caryn A. Brownell | Family Medicine | 2130 Big Bend Road, Prohealth Care Medical Associates, Inc., Waukesha, WI 53189-7624 | 2006-02-10 |
| 1902879737 | Madelyn C Sieraski | Family Medicine | Prohealth Care Medical Centers-south, 2130 Big Bend Road, Waukesha, WI 53189 | 2006-02-10 |
| 1699747394 | Sandra G Amadon | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates Inc., Waukesha, WI 53149-8475 | 2006-02-06 |
| 1669457214 | Eduardo Scholcoff | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2005-12-07 |
| 1710971668 | Robert J Beaumont | Family Medicine | 237 Wisconsin Ave, Waukesha, WI 53186-4955 | 2005-09-07 |
| Find all providers in WAUKESHA | ||||
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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.