PROHEALTH MEDICAL GROUP INC
NPI 1386785178
Family Medicine in Hartland, WI

Active since February 12, 2007CLIA 52D0388385 · Waiver
1500 WALNUT RIDGE DR, HARTLAND, WI 53029(262) 928-7500(262) 367-8744 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 1386785178) is a healthcare organization registered as a family medicine in Hartland, Wisconsin and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Peter Geiss, Md, President, as its authorized official.

NPPES Registry Identity

NPI1386785178
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location Address1500 WALNUT RIDGE DRHartland, WI 53029-9317
Mailing AddressN17 W24100 Riverwood Dr, Suite 250Waukesha, WI 53188-1131 · (262) 928-4100 · Fax (262) 928-5835
Fax(262) 367-8744
Organization SubpartYes
Authorized OfficialPeter Geiss, MdPresident · (262) 928-8669
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1386785178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedInternal MedicineTaxonomy 207R00000X
1500 WALNUT RIDGE DR, Hartland, WI 53029

Other Identifiers 2

Medicaid32819100WI
Other0505180017WI · 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 52D0388385

Prohealth Medical Group, Inc - Hartland · Hartland, WI
Active · expires Nov 4, 2027
CLIA Number52D0388385
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorDr. Catherine E. Way
Laboratory Phone(262) 513-7500
Laboratory LocationProhealth Medical Group, Inc - Hartland1500 Walnut Ridge Dr, Hartland, WI 53029
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
HARTLAND, WI 53029
Nurse Practitioner (Family)
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC.
HARTLAND, WI 53029

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 1386785178. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Prohealth Medical Group Inc located?

Prohealth Medical Group Inc is located at 1500 Walnut Ridge Dr, Hartland, WI 53029. The listed phone number is (262) 928-7500.

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 of Waiver (number 52D0388385) is associated with this NPI, valid through November 4, 2027. 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.