PROHEALTH CARE MEDICAL ASSOCIATES INC (NPI# 1720371719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720371719 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Practice Address |
20611 Watertown Rd Suite J Waukesha WI 53186-1871 |
| Mailing Address |
N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 |
| Practice Telephone | 2629285900 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2011-05-24 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32652600 | 05 | |
| WI | DME | 0505180008 | 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 |
| 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 |
20611 WATERTOWN RD SUITE J |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614515 | David Christian Hemmy | Neurological Surgery | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2005-07-27 |
| 1457912412 | Jami L Smith | Nurse Practitioner | 20611 Watertown Rd, Waukesha, WI 53186-1871 | 2019-06-21 |
| 1730514175 | Nicole Katcha | Registered Nurse | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2013-09-04 |
| 1851732135 | Jamie L Mabeus | Chiropractor | 20611 Watertown Rd, Suite B, Waukesha, WI 53186-1871 | 2013-07-15 |
| 1841531571 | Nicole M Bartelt | Nurse Practitioner | 20611 Watertown Rd, Ste J, Waukesha, WI 53186-1871 | 2013-03-05 |
| 1801144845 | Ronelle E Christenson | Nurse Practitioner | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2012-08-23 |
| 1689943631 | Colleen Jo Sobocinski | Nurse Practitioner | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2011-12-20 |
| 1821307190 | Kathleen Wolf | Occupational Therapist | 20611 Watertown Rd, Prohealth Care Works, Waukesha, WI 53186-1871 | 2010-10-04 |
| 1073746517 | Kathy D Hartke Md Sc | Obstetrics & Gynecology | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 | 2009-09-01 |
| 1952534497 | Sherry L Prowatzke Md Sc | Obstetrics & Gynecology | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 | 2009-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| 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.