OrganizationActive
Prohealth Medical Group Inc
NPI 1386897965 · Family Medicine Physician · Oconomowoc, WI
Provider details
- NPI number
- 1386897965
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Prohealth Medical Group Inc
- Organization subpart
- Yes
- Authorized official
- Peter Geiss, President(262) 928-8669
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 Summit Ave
Oconomowoc, WI 53066-3900
Phone: (262) 567-0223
Fax: (262) 567-6380
Street-level locationGet directions
Mailing address
N17w24100 Riverwood Dr
Waukesha, WI 53188-1177
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2022-05-23
- Certified
- 2022-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.