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Prohealth Medical Group Inc.

Pediatrics Physician in Waukesha, WI · enumerated 2005 · authorized official Thomas Johnson, Reimbursement Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356322440

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Registry record

Entity type Organization (Type 2)
Legal business name Prohealth Medical Group Inc.
Other name <Unavail>
Practice address N17w24100 Riverwood Dr, Waukesha, WI, 53188
Phone (262) 928-4100
Fax (262) 928-5835
Enumeration date Nov 7, 2005
Last updated in NPPES Jun 18, 2026

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Thomas Johnson
Title Reimbursement Manager
Phone (262) 928-4704

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Prohealth Medical Group Inc. located?
The practice location on file with NPPES is in Waukesha, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-18.