PROHEALTH CARE WAUKESHA HEALTH SYSTEMS (NPI# 1336390228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336390228 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE WAUKESHA HEALTH SYSTEMS |
| Other Organization Name | EMPLOYEE HEALTH |
| Practice Address |
1205 Corporate Center Dr Oconomowoc WI 53066-4840 |
| Practice Telephone | 2625696300 |
| Practice Fax Number | 2625696303 |
| Mailing Telephone | 2625696300 |
| Mailing Fax Number | 2625696303 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | VICKI DALLMANN-PAPKE (DIRECTOR EMPLOYEE HEALTH) |
| Authorized Official Telephone | 26265696300 |
| Authorized Official Credential | COHN-S, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Employee Health | Other Name - Individual/Organization |
| Street Address |
1205 CORPORATE CENTER DR |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538128954 | Vicki L Tetzlaff | Nurse Practitioner | 1205 Corporate Center Dr, Prohealth Care Medical Associates Inc., Oconomowoc, WI 53066-4898 | 2006-03-23 |
| 1043783590 | Cassandra Kneifl | Nurse Practitioner | 1205 Corporate Center Dr, Oconomowoc, WI 53066-4898 | 2019-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719580 | Wheaton Franciscan Healthcare Southeast Wisconsin Inc | Clinic/Center | 2333 Northwestern Ave Ste 115, Racine, WI 53404-2520 | 2020-08-07 |
| 1225433949 | A. Grbich LLC | Clinic/Center | N48w14336 Hampton Ave, Suite 200, Menomonee Falls, WI 53051-6909 | 2014-10-23 |
| 1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
| 1154646230 | Saints Health Services for Business | Clinic/Center | 133 S 16th Pl, Sturgeon Bay, WI 54235-1454 | 2010-04-01 |
| 1366520504 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1147 Warwick Way, Racine, WI 53406-5661 | 2006-11-02 |
| 1255386454 | Vita Physical Therapy Sc | Clinic/Center | 451 E Erie St, Milwaukee, WI 53202-6159 | 2006-05-24 |
| 1710480363 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2018-03-09 |
| 1649689316 | Group Health Cooperative of South Central Wisconsin | Clinic/Center | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-08-07 |
| 1457694341 | Occupational Health Centers of The Southwest, Pa | Clinic/Center | 5500 West Brown Deer Road, Suite 400, Milwaukee, WI 53223-2265 | 2013-03-29 |
| 1548569692 | Stay Strong Therapies LLC | Clinic/Center | 21140 W Capitol Dr, Suite 4, Brookfield, WI 53072-2953 | 2011-03-15 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on PROHEALTH CARE WAUKESHA HEALTH SYSTEMS.
| 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.