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PROHEALTH MEDICAL GROUP INC
NPI 1114966231
Internal Medicine in Waukesha, WI

Active since June 05, 2006CLIA 52D2072341 · Waiver
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188(262) 696-0808 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1114966231) is a healthcare organization registered as an internal medicine in Waukesha, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Brian T Lipman, President Clinic Division, as its authorized official.

NPPES Registry Identity

NPI1114966231
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location AddressN16W24131 RIVERWOOD DRWaukesha, WI 53188-1106
Mailing Address725 American Ave, Medical Staff OfficeWaukesha, WI 53188-5031 · (262) 928-3270 · Fax (262) 953-8723
Phone(262) 696-0808
Organization SubpartYes
Authorized OfficialBrian T LipmanPresident Clinic Division · (262) 928-8669
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1114966231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPhysical TherapistTaxonomy 225100000X
N16W24131 RIVERWOOD DR, Waukesha, WI 53188
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Other Identifiers 1

Other0505180015WI · Dme

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 of Waiver 52D2072341

Prohealth Medical Group, Inc - Pewaukee · Waukesha, WI
Active · expires Jan 27, 2028
CLIA Number52D2072341
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDr. Paul J. Oneill
Laboratory Phone(262) 696-0808
Laboratory LocationProhealth Medical Group, Inc - PewaukeeN16 W24131 Riverwood Dr, Waukesha, WI 53188
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RYAN CONDON MS, LCGC
Genetic Counselor, MS
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-5613
KINEX MEDICAL COMPANY, LLC
Durable Medical Equipment & Medical Supplies
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 754-3939
AMANDA LYNN OEDER PA
Physician Assistant
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-0909
BRIAN W LEE M.D.
Dermatology
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-0808
KATIE DAMMEN
Nurse Practitioner (Adult Health)
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (608) 293-2234
JONATHAN KAPKE DO
Internal Medicine (Hematology & Oncology)
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-5690
MRS. ELIZABETH EILEEN SCHMID APNP, FNP-C
Nurse Practitioner (Family)
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-0808
DR. DEREK STEVEN SERNA M.D.
Internal Medicine (Hematology & Oncology)
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-5690

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 1114966231. It was assigned to this organization in the NPPES registry on June 5, 2006.

Where is Prohealth Medical Group Inc located?

Prohealth Medical Group Inc is located at N16w24131 Riverwood Dr, Waukesha, WI 53188. The listed phone number is (262) 696-0808.

What is Prohealth Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Prohealth Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2072341) is associated with this NPI, valid through January 27, 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.