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PROHEALTH MEDICAL GROUP INC
NPI 1316752900
Non-Pharmacy Dispensing Site in Waukesha, WI

Active since February 11, 2025
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188(262) 696-0889(262) 696-0922 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prohealth Medical Group Inc NPPES

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

PROHEALTH MEDICAL GROUP INC (NPI 1316752900), doing business as Pewaukee Medical Oncology, is a healthcare organization registered as a non-pharmacy dispensing site in Waukesha, Wisconsin and active in the NPI registry since February 2025. The organization lists Thomas W Johnson, Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1316752900
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location AddressN16W24131 RIVERWOOD DRWaukesha, WI 53188-1106
Mailing AddressN16w24131 Riverwood DrWaukesha, WI 53188-1106
Phone(262) 696-0889
Fax(262) 696-0922
Organization SubpartYes
Authorized OfficialThomas W JohnsonReimbursement Manager · (262) 928-4704
Enumeration DateFebruary 11, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1316752900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
N16W24131 RIVERWOOD DR, Waukesha, WI 53188
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Other Names 1

Doing Business AsPewaukee Medical Oncology

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
PROHEALTH MEDICAL GROUP INC
Internal Medicine
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188
Waukesha County (262) 696-0808

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 1316752900. It was assigned to this organization in the NPPES registry on February 11, 2025. The provider is doing business as Pewaukee Medical Oncology.

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) 696-0889.

What is Prohealth Medical Group Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Prohealth Medical Group Inc was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.