EDDY D CO MD SC NPI 1801125976

NPI Information

NPI: 1801125976
Provider Name: EDDY D CO MD SC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3267 S 16TH ST
STE 105
MILWAUKEE, WI
ZIP 53215
Phone: (414) 645-0920
Get Directions

EDDY D CO MD SC is a cardiovascular disease internal medicine in Milwaukee, WI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. EDDY D CO MD SC NPI is 1801125976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3267 S 16TH ST
STE 105
MILWAUKEE, WI
ZIP 53215-500
Phone: (414) 645-0920

The provider's authorized official is Eddy Co .
The authorized official title is President and has the following contact phone number (414) 645-0920.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 5/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	19814	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061917005	OTHER	WISCONSIN	RAILROAD MEDICARE
2	000073996	MEDICARE PIN	WISCONSIN
3	30914600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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