PROHEALTH MEDICAL GROUP INC – NPI #1891836680
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.

PROHEALTH MEDICAL GROUP INC is a provider located in BROOKFIELD, WI. NPPES has assigned the NPI number 1891836680 to PROHEALTH MEDICAL GROUP INC on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on May 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROHEALTH MEDICAL GROUP INC below.

NPI Profile for
PROHEALTH MEDICAL GROUP INC

NPI Number
1891836680
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROHEALTH MEDICAL GROUP INC
Primary location
2085 N. CALHOUN ROAD
BROOKFIELD, WI 53005-5003
Phone: (262) 928-7100 Fax: (262) 928-7111
Mailing address
N17 W24100 RIVERWOOD DR
SUITE 250
WAUKESHA, WI 53188-1131
Phone: (262) 928-4100 Fax: (262) 928-5835
Organization Subpart
Yes - PROHEALTH MEDICAL GROUP INC is subpart of another organization.
Authorized Official
PETER GEISS, MD
PRESIDENT
Phone: (262) 928-8669
Updated
Certification Date
May 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROHEALTH MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDMEWI0505180005
MEDICAIDWI32819200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207RG0100X
- Internal Medicine / Gastroenterology
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.