Maryam K Doyle MD SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MARYAM K DOYLE MD SC

Practice address

12203 Corporate Pkwy
Mequon, WI 53092-3388

Phone

(262) 387-8383

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Maryam K Doyle, MDNPI 1053367789

Title

Owner/President

Phone

(414) 365-3210

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryam K Doyle, MD

  • Anesthesiology Physician
  • Wauwatosa, WI
  • NPI 1053367789
  NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1043393168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 W SCHROEDER DR",
            "address_2": "SUITE #170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231475",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 CORPORATE PKWY",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923388",
            "telephone_number": "262-387-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM K DOYLE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-365-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31773400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irwin Margolis, M.D.
• Mark W Niedfeldt, MD, LLC
• Kayla Markle
• Douglas Richard Martin, D.D.S.
• Brian Shawn Martinezdelacotera, LPC
• Michael Antonio Marzette Jr.
• Diane Matel, APNP, PHD
• Anne L Mattson, MD
• Rita Kasota Maxinoski, DPT
• Michael Mazius, PHD

• Anesthesiology Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.