Organization Active NPI

Maelynn D Colinco MDSC

  • Anesthesiology Physician
  • Milwaukee, WI
National Provider Identifier
1689695546
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MAELYNN D COLINCO MDSC
Practice address
7007 N Range Line Rd
Milwaukee, WI 53209-2620
Phone
(414) 362-3341
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Maelynn D Colinco, MD
Title
Owner/President
Phone
(414) 352-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

7007 N Range Line Rd
Milwaukee, WI 53209-2620

Mailing address

4555 W Schroeder Dr
Suite 170
Milwaukee, WI 53223-1475
Phone (414) 365-3210

Other identifiers 1

IdentifierTypeStateIssuer
32252800MedicaidWI

National Provider Directory

National Provider Directory

Locations

925 PRT Washington Rd
Grafton, WI 53024
Phone (262) 387-8300

925 PRT Washington Rd
Grafton, WI 53024
Phone (262) 387-8300

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1689695546",
    "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": "414-365-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 N RANGE LINE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092620",
            "telephone_number": "414-362-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAELYNN D COLINCO MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "COLINCO",
        "authorized_official_first_name": "MAELYNN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-352-3341",
        "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": "32252800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.