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PROHEALTH MEDICAL GROUP INC
NPI 1891836649
Family Medicine in Mukwonago, WI

Active since February 12, 2007CLIA Certified · 2 labs
240 W. MAPLE AVENUE, MUKWONAGO, WI 53149(262) 928-1900(262) 928-1949 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 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 1891836649) is a healthcare organization registered as a family medicine in Mukwonago, Wisconsin and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Peter Geiss, President, as its authorized official.

NPPES Registry Identity

NPI1891836649
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location Address240 W. MAPLE AVENUEMukwonago, WI 53149-8475
Mailing AddressN17w24100 Riverwood Drive, Suite 250Waukesha, WI 53188-1177 · (262) 928-4100 · Fax (262) 928-5835
Phone(262) 928-1900
Fax(262) 928-1949
Organization SubpartYes
Authorized OfficialPeter GeissPresident · (262) 928-8669
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1891836649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPediatricsTaxonomy 208000000X
240 W. MAPLE AVENUE, Mukwonago, WI 53149
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Other Identifiers 2

Medicaid32837900WI
Other0505180003WI · 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 2

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 52D0898305

Prohealth Medical Group, Inc - Mukwonago · Mukwonago, WI
Active · expires Nov 8, 2026
CLIA Number52D0898305
Laboratory TypeMedical Group
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorDr. Jon Woolever
Laboratory Phone(262) 928-7710
Laboratory LocationProhealth Medical Group, Inc - Mukwonago240 Maple Ave, Mukwonago, WI 53149
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2192617

Prohealth Medical Group, Inc - Mukwonago Urgent Care Services · Mukwonago, WI
Active · expires Sep 10, 2026
CLIA Number52D2192617
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 - Mukwonago Urgent Care Services240 Maple Avenue, Mukwonago, WI 53149
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1891836649. 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 240 W. Maple Avenue, Mukwonago, WI 53149. The listed phone number is (262) 928-1900.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Prohealth Medical Group Inc was last updated on May 24, 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.