Mark D Grossklaus (NPI# 1255403101, PAC ID# 3072580224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255403101 |
| PAC ID by PECOS | 3072580224 |
| Professional Enrollment ID | I20040916000023 |
| Full Name | Mark D Grossklaus |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Address |
717 W Moreland Blvd Waukesha WI 53188-2432 |
| Phone Number | 2625429100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476465188 |
| Number of Group Practice Members | 370 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| 520062 | OCONOMOWOC MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2625429100 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Physicians | 375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Scott | Nurse Practitioner | Prohealth Care Medical Associates Inc | 721 American Ave, Suite 310, Waukesha, WI 53188-5071 |
| Laurel Evans | Nurse Practitioner | Prohealth Care Medical Associates Inc | 2301 Sun Valley Dr, Delafield, WI 53018-2318 |
| Matthew Klein | Physical Therapy | Prohealth Care Medical Associates Inc | 17280 W N Ave, Suite 104, Brookfield, WI 53045-4366 |
| Kristen Fox | Family Medicine | Prohealth Care Medical Associates Inc | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 |
| Dayken Underdahl | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Savannah N Shores | Nurse Practitioner | Prohealth Care Medical Associates Inc | N16 W24131 Riverwood Dr, Waukesha, WI 53188-1177 |
| Crystal J Platz | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Jacqueline M Radaj | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Lisa Drew | Nurse Practitioner | Prohealth Care Medical Associates Inc | 13750 W National Ave, New Berlin, WI 53151-4588 |
| Alyssa N Zielke | Physician Assistant | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Street Address |
717 W MORELAND BLVD |
| City | WAUKESHA |
| State | WI |
| Zip | 53188-2432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayken Underdahl | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Kailey Formella | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Carolyn K Day | Family Medicine | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| John A Szivecz Jr. | Physical Therapy | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Mary R Fourness | Nurse Practitioner | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Elizabeth Davies | Family Medicine | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Allison K Zoltak | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Heather S Brown | Family Medicine | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Michelle Morgan | Family Medicine | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Patrick H Ginn | Family Medicine | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey N Heisler | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | N26w23977 Watertown Rd, Waukesha, WI 53188-1006 |
| Mary K Karkow | Oral Surgery | N14w23833 Stone Ridge Dr, Suite 240, Waukesha, WI 53188-1100 | |
| Gregory A Kass | Diagnostic Radiology | Radiology Waukesha Sc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| Jennifer T Bergin | Diagnostic Radiology | Radiology Waukesha Sc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| David O Yenerich | Diagnostic Radiology | Radiology Waukesha Sc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| James M Walker | Diagnostic Radiology | Radiology Waukesha Sc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| Scott A Koss | Diagnostic Radiology | Radiology Waukesha Sc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| Didier A Mandelbrot | Nephrology | University of Wisconsin Medical Foundation Inc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| Tracy Martin | Diagnostic Radiology | Radiology Waukesha Sc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| Anthony M Dalessandro | General Surgery | University of Wisconsin Medical Foundation Inc | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 |
| Find all physicians in zip 53188 | |||
| City | WAUKESHA |
| Zip Code | 53188 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAUKESHA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark D Grossklaus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.