Prohealth Medical Group Inc

LBN: Prohealth Medical Group Inc
Prohealth Medical Group Inc is an health care organization with primary practice located at 109 Air Park Dr , Watertown WI 53094-7400. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Prohealth Medical Group Inc can be contacted via phone (262) 928-5100, or through Geiss, Md, Peter via phone (262) 928-8669.

Contact Information

Primary practice address
109 Air Park Dr Watertown WI 53094-7400
Phone: (262) 928-5100
Fax: (262) 928-5111
Website:
Map and Directions
Authorized official contact:
Name: Geiss, Md, Peter
Phone: (262) 928-8669

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1629119417
LBN Legal business name Prohealth Medical Group Inc
DBA Doing business as
Authorized official Geiss, Md, Peter
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2007
Last updated May 23rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629119417 NPPES
Wisconsin MEDICAID 32877500
Wisconsin Other 0505180009

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