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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
19814 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | 061917005 | 01 |
| WI | 30914600 | 05 |
| Street Address |
3267 S 16TH ST SUITE 105 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4500 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| 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 |
| Find all providers in MILWAUKEE | ||||
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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.