PROHEALTH ALIGNED LLC (NPI# 1053562959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053562959 |
| Entity Type | Organization |
| Organization Name | PROHEALTH ALIGNED LLC |
| Other Organization Name | PROHEALTH CARE MORELAND SURGERY CENTER |
| Practice Address |
1111 Delafield St Suite 100 Waukesha WI 53188-3417 |
| Practice Telephone | 2629284300 |
| Practice Fax Number | 2629284333 |
| Mailing Telephone | 2629284300 |
| Mailing Fax Number | 2629284333 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | MR. RONALD G BULLEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2629286080 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ProHealth Care Moreland Surgery Center | Doing Business As Name - Organization |
| Street Address |
1111 DELAFIELD ST SUITE 100 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240959 | W. Patrick Flanagan Jr. | Urology | 1111 Delafield St, Suite 12, Waukesha, WI 53188-3417 | 2005-07-26 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1467975383 | Deanne Evelyn Dunder | Nurse Practitioner | 1111 Delafield St, Waukesha, WI 53188-3417 | 2017-07-23 |
| 1255868006 | Ryan J Moncada | Physician Assistant | 1111 Delafield St, Suite 207, Waukesha, WI 53188-3417 | 2017-05-11 |
| 1235672239 | Paul B Doenier Md, Sc | Family Medicine | 1111 Delafield St, Suite 321, Waukesha, WI 53188-3417 | 2016-11-22 |
| 1013395078 | Alyssa Kathryn Eisner | Physician Assistant | 1111 Delafield St, Suite 209, Waukesha, WI 53188-3403 | 2015-05-11 |
| 1679950513 | Holly Beth Maciejewski | Nurse Practitioner | 1111 Delafield St, 215, Waukesha, WI 53188-3417 | 2015-04-29 |
| 1184022360 | Moreland Medical Laboratory, LLC | Clinical Medical Laboratory | 1111 Delafield St, Suite 301, Waukesha, WI 53188-3417 | 2014-12-20 |
| 1710395959 | Orthopedic Associates of Wisconsin | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-07-31 |
| 1053729046 | Debra Seiler | Nurse Practitioner | 1111 Delafield St, Suite 215, Waukesha, WI 53188-3417 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265981195 | Waukesha Medical Services, LLC | Clinic/Center | N4w22370 Bluemound Rd Ste 201, Waukesha, WI 53186-1683 | 2016-10-04 |
| 1295073435 | Waukesha Pain Center LLC | Clinic/Center | 813 W Moreland Blvd, Waukesha, WI 53188-2963 | 2013-01-23 |
| 1336371020 | Wisconsin Health Center LLC | Clinic/Center | 813 W. Moreland Boulavard, Waukesha, WI 53188 | 2009-08-14 |
| 1932678281 | Vein Center At Allure Medical Spa, Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186-8756 | 2018-11-15 |
| 1679694004 | Gi Specialists LLC | Clinic/Center | 1111 Delafield St, Suite 322, Waukesha, WI 53188-3417 | 2007-04-03 |
| 1164572863 | Oaw Asc, LLC | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.