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PROHEALTH MEDICAL GROUP INC
NPI 1386897965
Family Medicine in Oconomowoc, WI

Active since October 28, 2008CLIA 52D2192613 · Waiver
820 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 567-0223(262) 567-6380 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 1386897965) is a healthcare organization registered as a family medicine in Oconomowoc, Wisconsin and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Peter T Geiss, President, as its authorized official.

NPPES Registry Identity

NPI1386897965
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location Address820 SUMMIT AVEOconomowoc, WI 53066-3900
Mailing AddressN17w24100 Riverwood Dr, Suite 150Waukesha, WI 53188-1177 · (262) 928-4100 · Fax (262) 928-5835
Phone(262) 567-0223
Fax(262) 567-6380
Organization SubpartYes
Authorized OfficialPeter T GeissPresident · (262) 928-8669
Enumeration DateOctober 28, 2008
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1386897965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
820 SUMMIT AVE, Oconomowoc, WI 53066
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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 52D2192613

Prohealth Medical Group, Inc - Oconomowoc Urgent Care Services · Oconomowoc, WI
Active · expires Sep 10, 2026
CLIA Number52D2192613
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorDr. Megan Edwards
Laboratory Phone(262) 928-1825
Laboratory LocationProhealth Medical Group, Inc - Oconomowoc Urgent Care Services1185 Corporate Center Drive Suite 155, Oconomowoc, WI 53066
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

EDP OF WISCONSIN, SC
Clinic/Center (Dental)
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (312) 800-1270
JOSEPH M SETNICAR DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
DR. KRISTEN ANN VENTO D.O.
Family Medicine
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
JAMES S LEAMAN DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
STACIE A PIACSEK DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
DR. DALE ALAN JOHNSON MD
Family Medicine
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES FP
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
DRS. LEAMAN, SETNICAR & PIACSEK, S.C.
Dentist (General Practice)
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466

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 1386897965. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Prohealth Medical Group Inc located?

Prohealth Medical Group Inc is located at 820 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-0223.

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 52D2192613) is associated with this NPI, valid through September 10, 2026. 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.