NPIMap

Organization Active NPI

Waukesha Health Care, Inc.

Doing business as ProHealth Care Medical Associates

  • Internal Medicine Physician
  • Oconomowoc, WI
National Provider Identifier
1649594508
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WAUKESHA HEALTH CARE, INC.
Doing business as
ProHealth Care Medical Associates
Practice address
1306 W Wisconsin Ave
Oconomowoc, WI 53066-2647
Phone
(262) 560-2300
Fax
(262) 567-1377
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Hull
Title
Vice President of Finance
Phone
(262) 928-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1306 W Wisconsin Ave
Oconomowoc, WI 53066-2647

Mailing address

N17W24100 Riverwood Dr Ste 250
Waukesha, WI 53188-1177

Other names 1

  • ProHealth Care Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Care Medical Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1649594508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N17W24100 RIVERWOOD DR STE 250",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W WISCONSIN AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662647",
            "telephone_number": "262-560-2300",
            "fax_number": "262-567-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKESHA HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "262-928-4200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Care Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.