Robert Michael Molloy, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

32598 Issued in WI

Practice address

1033 N Mayfair Rd
Suite 101
Wauwatosa, WI 53226-3442

Phone

(414) 454-0600

Fax

(414) 454-0971

NPI assigned

Mar 2, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1043287717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 S 27TH ST",
            "address_2": "SUITE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153600",
            "telephone_number": "414-908-6615",
            "fax_number": "414-385-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N MAYFAIR RD",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263442",
            "telephone_number": "414-454-0600",
            "fax_number": "414-454-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "32598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32307800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Mokrohisky, MD
• Daniel Molinaro, DO
• Karen Lynn Molitor, DNP, FNP, RN
• Troy Peter Molitor, DMD
• Elizabeth Molling, PTA
• Mommy and Me Prenatal Care Service LLC
• Kawana Monique Momon, COTA
• Jo Ann Marie Monagle, RN
• Jasper Gabriel Montalbano, PA
• Dana Monticelli, RN, BSN, IBCLC

• Gastroenterology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.