Active NPI
Gary L. Kuhl, D.O.
- Family Medicine Physician
- New Berlin, WI
National Provider Identifier
1649243429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21028
- Practice address
- 13900 W. National Avenue
Prohealth Care Medical Associates, Inc.
New Berlin, WI 53151 - Phone
- (262) 928-4500
- Fax
- (262) 928-4550
- NPI assigned
- Feb 10, 2006
- Last updated
- Nov 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21028 | WI | Primary |
Addresses
Primary practice location
13900 W. National Avenue
Prohealth Care Medical Associates, Inc.
New Berlin, WI 53151
Mailing address
N17 W24100 Riverwood Drive
Prohealth Care Medical Associates, Inc.
Waukesha, WI 53188-1177
Phone (262) 928-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30012300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21028 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1649243429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N17 W24100 RIVERWOOD DRIVE",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES, INC.",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881177",
"telephone_number": "262-928-4100",
"fax_number": "262-928-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13900 W. NATIONAL AVENUE",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES, INC.",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "53151",
"telephone_number": "262-928-4500",
"fax_number": "262-928-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHL",
"first_name": "GARY",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "21028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30012300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.