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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629119417 | NPPES |
| Wisconsin | MEDICAID | 32877500 | |
| Wisconsin | Other | 0505180009 |
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