PROHEALTH MEDICAL GROUP INC
NPI 1538839618
Clinic/Center - Multi-Specialty in Pewaukee, WI

Active since September 20, 2021
1279 CAPITOL DR, PEWAUKEE, WI 53072(262) 928-9180 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2022, Sep 20, 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 1538839618) is a healthcare organization registered as a multi-specialty in Pewaukee, Wisconsin and active in the NPI registry since September 2021. The organization lists Thomas W Johnson, Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1538839618
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location Address1279 CAPITOL DRPewaukee, WI 53072-2504
Mailing AddressN17w24100 Riverwood DrWaukesha, WI 53188-1127 · (262) 928-4704
Organization SubpartYes
Authorized OfficialThomas W JohnsonReimbursement Manager · (262) 928-4704
Enumeration DateSeptember 20, 2021
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1538839618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1279 CAPITOL DR, Pewaukee, WI 53072

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 1538839618. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Prohealth Medical Group Inc located?

Prohealth Medical Group Inc is located at 1279 Capitol Dr, Pewaukee, WI 53072. The listed phone number is (262) 928-9180.

What is Prohealth Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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.