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PROHEALTH MEDICAL GROUP INC NPI 1912290909


NPI Information

NPI: 1912290909
Provider Name: PROHEALTH MEDICAL GROUP INC

Doing Business As: PROHEALTH CARE MEDICAL ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
W165N5595 CREEKWOOD XING
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 373-2600
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PROHEALTH MEDICAL GROUP INC is an internal medicine in Menomonee Falls, WI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROHEALTH MEDICAL GROUP INC NPI is 1912290909. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prohealth Care Medical Associates.

The provider's business location address is:

W165N5595 CREEKWOOD XING
MENOMONEE FALLS, WI
ZIP 53051-685
Phone: (262) 373-2600

The provider's authorized official is Jim Lyons .
The authorized official title is President and has the following contact phone number (262) 928-7636.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 5/24/2022.


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 License Number License State Primary
1207Q00000XFamily MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
4208200000XPlastic SurgeryNo
52085R0202XRadiologyDiagnostic RadiologyNo
6207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132652600MEDICAIDWISCONSIN

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: 5/5/2024

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