Eddy D Co MD SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

19814 Issued in WI

Legal business name

EDDY D CO MD SC

Practice address

3267 S 16TH St
Ste 105
Milwaukee, WI 53215-4500

Phone

(414) 645-0920

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Eddy Co, MD

Title

President

Phone

(414) 645-0920

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1801125976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 S 16TH ST",
            "address_2": "STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154500",
            "telephone_number": "414-645-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 S 16TH ST",
            "address_2": "STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154500",
            "telephone_number": "414-645-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDY D CO MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-645-0920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "19814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "061917005",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30914600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Eckman, MS, LPC
• Brooke Eckmann
• Evan Economos, MD
• Ginoj Edakkunnathu, PHARMD
• Mehran Edalatpour, M.D.
• Francis Ogbonna Edeani, MD
• Edens Pointe Home Care Inc
• Edge Medical Services
• Edge Medical Services
• Madeline Gretta Edgerly

• Cardiovascular Disease Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.