Brookfield Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BROOKFIELD TOWNSHIP

Practice address

774 State Route 7 NE
Brookfield, OH 44403-9630

Phone

(330) 448-1000

Fax

(330) 448-4262

NPI assigned

Nov 14, 2005

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. David Masirovits

Title

Chief

Phone

(330) 448-1000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1104808492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "330-448-1000",
            "fax_number": "330-448-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE ROUTE 7 NE",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039630",
            "telephone_number": "330-448-1000",
            "fax_number": "330-448-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MASIROVITS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-448-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155959",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016410380003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Brock
• Brittany Brookes
• Michelle Brookes
• Brookfield Local School District
• Brookfield Local Schools
• Emily Burmeister
• Kristin Elaine Bykowski, CNP
• Terry Lynn Carter, CDCA
• Linda Chick
• Scarlet Chlebus, RRT

• Land Ambulance in Brookfield, OH
• Providers in Brookfield, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.