Prohealth Medical Group Inc
NPI 1417627514 · Multi-Specialty Clinic/Center · Waterford, WI
Prohealth Medical Group Inc is a Multi-Specialty Clinic/Center organization in Waterford, WI (NPI 1417627514).
Provider details
- NPI number
- 1417627514
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Prohealth Medical Group Inc
- Organization subpart
- Yes
- Authorized official
- Thomas Johnson, Reimbursement Manager(262) 928-4704
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Prohealth Medical Group Inc's NPI number?
- Prohealth Medical Group Inc's National Provider Identifier (NPI) is 1417627514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prohealth Medical Group Inc?
- Prohealth Medical Group Inc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prohealth Medical Group Inc located?
- Prohealth Medical Group Inc's practice location on file with NPPES is 808 Cornerstone Ct, Waterford, WI 53185-4562.
- What is Prohealth Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Prohealth Medical Group Inc is (262) 928-1977.
- Who is the authorized official for Prohealth Medical Group Inc?
- The authorized official listed on Prohealth Medical Group Inc's NPPES record is Thomas Johnson, Reimbursement Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prohealth Medical Group Inc's NPI active?
- Yes — Prohealth Medical Group Inc's NPI (1417627514) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.