PROHEALTH MEDICAL GROUP INC. NPI 1356322440

NPI Information

NPI: 1356322440
Provider Name: PROHEALTH MEDICAL GROUP INC.

Doing Business As: PROHEALTH MEDICAL GROUP INC

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
N17W24100 RIVERWOOD DR
WAUKESHA, WI
ZIP 53188
Phone: (262) 928-4100
Get Directions

PROHEALTH MEDICAL GROUP INC. is a radiology clinic center in Waukesha, WI. PROHEALTH MEDICAL GROUP INC. NPI is 1356322440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prohealth Medical Group Inc.

The provider's business location address is:

N17W24100 RIVERWOOD DR
WAUKESHA, WI
ZIP 53188-177
Phone: (262) 928-4100
Fax: (262) 928-5835

The provider's authorized official is Thomas W Johnson .
The authorized official title is Reimbursement Manager and has the following contact phone number (262) 928-4704.

The CLIA number assigned to this NPI record is 52D2215231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 11/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207K00000X	Allergy & Immunology		No
2	207N00000X	Dermatology		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	207V00000X	Obstetrics & Gynecology		No
6	207W00000X	Ophthalmology		No
7	207X00000X	Orthopaedic Surgery		No
8	207Y00000X	Otolaryngology		No
9	208000000X	Pediatrics		No
10	208100000X	Physical Medicine & Rehabilitation		No
11	2084N0400X	Psychiatry & Neurology	Neurology	No
12	208600000X	Surgery		No
13	208800000X	Urology		No
14	261QM1300X	Clinic/Center	Multi-Specialty	No
15	261QR0200X	Clinic/Center	Radiology	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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