OrganizationActive
Prohealth Medical Group Inc
NPI 1750033841 · Primary Care Clinic/Center · Waukesha, WI
Provider details
- NPI number
- 1750033841
- Entity type
- Organization
- Primary specialty
- Primary Care 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
Profile Score
Established profile(61/100 index)
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
1011 Spring City Dr
Waukesha, WI 53186-5934
Phone: (262) 928-0370
Approximate (ZIP-level) locationGet directions
Mailing address
N17w24100 Riverwood Dr Ste 250
Waukesha, WI 53188-1177
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.