EDDY D CO,


Address: 3267 S 16th St, Suite 105, Milwaukee, WI 53215-4500
Phone: 4146450920

EDDY D CO, (NPI# 1871697409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871697409
Entity Type Individual
Full Name EDDY D CO,
Credential MD
Practice Address 3267 S 16th St
Suite 105
Milwaukee
WI 53215-4500
Practice Telephone 4146450920
Mailing Telephone 4146450920
Enumeration Date 2006-09-12
Last Update Date 2010-05-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
19814 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI RAILROAD MEDICARE 061917005 01
WI 30914600 05

Office Location

Street Address 3267 S 16TH ST
SUITE 105
City MILWAUKEE
State WI
Zip Code 53215-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780671115 Kenneth S Scher Surgery 3267 S 16th St, Ste 207, Milwaukee, WI 53215-4500 2005-09-30
1700279734 Emily Plahna Social Worker 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 2015-03-16
1043611205 Amanda Donath Counselor 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 2014-09-08
1225468325 Kathleen Conley Nurse Practitioner 3267 S 16th St, Ohio Bldg Room 200, Milwaukee, WI 53215-4500 2013-11-26
1073857876 Ajit B Divgi M.d.,l.l.c. Internal Medicine 3267 S 16th St, Suite 208, Milwaukee, WI 53215-4500 2012-11-16
1225382849 Alison Marie Mangerson Social Worker 3267 S 16th St, Ohio Bldg Room 200, Milwaukee, WI 53215-4500 2012-11-05
1508127465 Damon R Camarata Social Worker 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 2012-06-06
1801125976 Eddy D Co Md Sc Internal Medicine 3267 S 16th St, Ste 105, Milwaukee, WI 53215-4500 2009-12-18
1609104140 Lingam V Kumar Md Sc Internal Medicine 3267 S 16th St, Suite #104, Milwaukee, WI 53215-4500 2009-11-20
1588843809 Kenneth Cole Psychologist 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 2007-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841829918 Joshua Michael Brooks Student in an Organized Health Care Education/Training Program Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 2020-04-02
1053967091 Kristina Strupp Clinical Nurse Specialist 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 2019-08-15
1427510296 Madelyn Pickle Student in an Organized Health Care Education/Training Program 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 2019-04-02
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457872673 Canzata Kimberly Dent Counselor 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 2017-06-28
1538689955 Christian Pena Durable Medical Equipment & Medical Supplies 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 2017-06-27
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1811443492 Thomas Diamond Physical Therapist 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 2016-09-01
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1992105621 Nicole R Hall Nurse Practitioner 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 2014-08-29
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235492455 David James Coulter Internal Medicine 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 2012-06-21
1619234937 Daniel R Harland Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 2012-04-12
1184811440 Barry K Gimbel Md Sc Internal Medicine 5150 N Port Wash Su249, Milwaukee, WI 53217-5474 2007-10-01
1306038187 Janet C-i Tsang Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 777, Milwaukee, WI 53215 2007-08-15
1184829475 Jayant Khitha Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 840, Milwaukee, WI 53215-3678 2007-06-18
1699840678 Alan Daniel Internal Medicine 1443 E Goodrich Ln, Milwaukee, WI 53217-2950 2006-11-22
1255423026 Gerard Thomas Parent Internal Medicine 2901 West Kinnickinnic River Parkway, Suite 200, Milwaukee, WI 53215 2006-09-29
1982625885 Milwaukee Cardiac Care LLC Internal Medicine 5434 W Capitol Dr Ste 1, #1, Milwaukee, WI 53216-2298 2006-07-23
1265487201 James L Schulgit Internal Medicine 2901 W Kinnickinnick River Parkway, 105, Milwaukee, WI 53215 2006-05-24
1114992120 Suhas K Shelgikar Internal Medicine 3635 W Oklahoma Ave, Milwaukee, WI 53215-4119 2006-02-22
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Competitor

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City MILWAUKEE
Zip Code 53215

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Dataset Information

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.

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