Active NPI
Columbia Cardiographic Consultants, LTD.
- Cardiovascular Disease Physician
- Milwaukee, WI
National Provider Identifier
1023020062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- COLUMBIA CARDIOGRAPHIC CONSULTANTS, LTD.
- Practice address
- 2025 E Newport Ave
Milwaukee, WI 53211-2906 - Phone
- (414) 961-3300
- NPI assigned
- Aug 11, 2006
- Last updated
- Jan 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Walcott, M.D.
- Title
- President
- Phone
- (414) 961-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
2025 E Newport Ave
Milwaukee, WI 53211-2906
Mailing address
PO Box 1790
Brookfield, WI 53008-1790
Phone (888) 850-0494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32693500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
11716 W Greenfield Ave
West Allis, WI 53214
Phone (414) 546-8649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1023020062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1790",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530081790",
"telephone_number": "888-850-0494",
"fax_number": "262-641-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 E NEWPORT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532112906",
"telephone_number": "414-961-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA CARDIOGRAPHIC CONSULTANTS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "WALCOTT",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-961-3300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32693500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
- Jessica Marie Colon Franco, PHD
- Sonia Milagros Colon Medina, L.AC.
- Pablo J Colon Nieves, MD
- Miriam Colton
- Patricia Colucci, NP
- Columbia Community Physicians
- Columbia St. Mary's Hospital Milwaukee Inc (Ascension Columbia St Mary's Hospital Milwaukee)
- Columbia St. Mary's Hospital Milwaukee, Inc (Ascension Columbia St Mary's Hospital Milwaukee)
- Columbia St. Mary's Hospital Milwaukee, Inc (Newport Pharmacy)
- Columbia St. Mary's Hospital Milwaukee, Inc (Cathedral Square Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.