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PROHEALTH MEDICAL GROUP INC
NPI 1043503030
Family Medicine in Sussex, WI

Active since May 24, 2011CLIA 52D0942038 · Microscopy
N57W24950 N CORPORATE CIR, SUSSEX, WI 53089(262) 820-3093 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Sep 8, 2021 (2 updates tracked since 2021).

About Prohealth Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH MEDICAL GROUP INC (NPI 1043503030) is a healthcare organization registered as a family medicine in Sussex, Wisconsin and active in the NPI registry since May 2011. The organization holds a CLIA Microscopy certificate valid through February 4, 2028 and lists Peter Geiss, Md, President, as its authorized official.

NPPES Registry Identity

NPI1043503030
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location AddressN57W24950 N CORPORATE CIRSussex, WI 53089-4383
Mailing AddressN17w24100 Riverwood Dr, Suite 250Waukesha, WI 53188-1177 · (262) 928-4100
Phone(262) 820-3093
Organization SubpartYes
Authorized OfficialPeter Geiss, MdPresident · (262) 928-8669
Enumeration DateMay 24, 2011
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1043503030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPathology · HematologyTaxonomy 207ZH0000X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
Also ListedPediatricsTaxonomy 208000000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
N57W24950 N CORPORATE CIR, Sussex, WI 53089
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Other Identifiers 2

Other0505180002WI · Dme
Medicaid32652600WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0942038

Prohealth Medical Group, Inc - Sussex · Sussex, WI
Active · expires Feb 4, 2028
CLIA Number52D0942038
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDr. Jane L. Walloch
Laboratory Phone(262) 820-3093
Laboratory LocationProhealth Medical Group, Inc - SussexN57 W24950 N Corporate Circle, Sussex, WI 53089
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER MICHAEL PETERS D.O.
Family Medicine
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
JULIE N. LARSEN M.D.
Family Medicine
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
ELIZABETH E BROWNELL M.D.
Family Medicine
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC
SUSSEX, WI 53089
Waukesha County (262) 820-3093
ANN J SHALLUE D.O.
Family Medicine
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
SUSSEX, WI 53089
Waukesha County (262) 820-3093
ARTHUR CRISOSTOMO M.D.
Internal Medicine (Pulmonary Disease)
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
SUSSEX, WI 53089
Waukesha County (262) 820-3093
REBECCA MAE RETTLER APNP
Nurse Practitioner (Family)
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
KEVIN CIRIACKS M.D.
Dermatology
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
BETTY A HOLLOWAY RD
Nutritionist
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
SUSSEX, WI 53089
Waukesha County (262) 820-3093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prohealth Medical Group Inc's NPI number?

The NPI number for Prohealth Medical Group Inc is 1043503030. It was assigned to this organization in the NPPES registry on May 24, 2011.

Where is Prohealth Medical Group Inc located?

Prohealth Medical Group Inc is located at N57w24950 N Corporate Cir, Sussex, WI 53089. The listed phone number is (262) 820-3093.

What is Prohealth Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Prohealth Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0942038) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prohealth Medical Group Inc was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.