PROHEALTH CARE MEDICAL ASSOCIATES INC (NPI# 1891836649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891836649 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Practice Address |
240 W. Maple Avenue Mukwonago WI 53149-8475 |
| Mailing Address |
N17w24100 Riverwood Drive Suite 250 Waukesha WI 53188-1177 |
| Practice Telephone | 2629281900 |
| Practice Fax Number | 2629281949 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | PETER GEISS (PRESIDENT) |
| Authorized Official Telephone | 2629288669 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DME | 0505180003 | 01 |
| WI | 32837900 | 05 |
| 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 |
| 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 |
240 W. MAPLE AVENUE |
| City | MUKWONAGO |
| State | WI |
| Zip Code | 53149-8475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1952724304 | Therapeutic Healing, LLC | Clinic/Center | S77 W30705 Mosher Dr., Mukwonago, WI 53149 | 2014-01-21 |
| 1659667087 | Joan Maria Stevenson | Occupational Therapist | 111 Aktinson St., Unit 2, Mukwonago, WI 53149 | 2011-06-23 |
| 1770873515 | Kimberly Lynn Schmor | Licensed Practical Nurse | 833 Pinehurst Dr, Mukwonago, WI 53149 | 2011-04-13 |
| 1952619959 | Jennifer Ann Crnkovich | Nurse Practitioner | W307 S7835 Applewood Lane, Mukwonago, WI 53149 | 2010-09-24 |
| 1841460839 | Wendy Schmidt | Occupational Therapist | 1231 S Rochester St Ste 210, Mukwonago, WI 53149 | 2008-03-05 |
| 1659589570 | Pamela Ann Mcwilliams | Dentist | 603 North Rochester St., Mukwonago, WI 53149 | 2007-05-21 |
| 1891823787 | Rosalind J Boyer-cole | Anesthesiology | S86w26640 Rustic View Ln, Mukwonago, WI 53149 | 2007-03-01 |
| 1184777435 | Michael F Connor | Dentist | 603 N Rochester Street, Mukwonago, WI 53149 | 2007-01-19 |
| 1912057159 | Leah Mary Hudson | Occupational Therapist | 103 Apollo Ct, Mukwonago, WI 53149 | 2007-01-11 |
| Find all providers in zip 53149 | ||||
| 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 |
|---|---|---|---|---|
| 1821160763 | Gwendolyn A Tanel | Family Medicine | 120 Chapman Farms Blvd, Mukwonago, WI 53149-9337 | 2006-11-15 |
| 1699861021 | Jeffrey D Gentile | Family Medicine | 120 Chapman Farm Boulevard, Mukwonago, WI 53149 | 2006-10-05 |
| 1104899277 | Steven C. Fehr | Family Medicine | 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149-8475 | 2006-02-09 |
| 1134192198 | Steven G Hammer | Family Medicine | 240 W. Maple Ave, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149-8475 | 2006-02-09 |
| 1093788176 | Anthony Norelli | Family Medicine | Prohealth Care Medical Centers-mukwonago, 240 Maple Avenue, Mukwonago, WI 53149 | 2006-02-09 |
| 1215354378 | Alison Wittchow | Family Medicine | 240 Maple Ave, Mukwonago, WI 53149-8475 | 2014-03-26 |
| 1255698056 | Yue Jing Chen | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates, Mukwonago, WI 53149-8475 | 2012-04-18 |
| 1457562126 | Todd R Nelson | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates Inc., Mukwonago, WI 53149-8475 | 2007-05-24 |
| 1508926353 | Douglas James Lindberg | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates Inc., Mukwonago, WI 53149-8475 | 2006-12-11 |
| 1366521510 | Bridget K. Lenz | Family Medicine | 240 Maple Ave, Prohealth Care Medical Assoicates Inc, Mukwonago, WI 53149-8475 | 2006-11-06 |
| Find all providers in MUKWONAGO | ||||
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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.