Organization Active NPI

Village of Maple Bluff

  • Emergency Medical Services (Emergency Medicine) Physician
  • Madison, WI
National Provider Identifier
1225753122
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
VILLAGE OF MAPLE BLUFF
Practice address
18 Oxford PL
Madison, WI 53704-5955
Phone
(608) 244-3390
NPI assigned
Oct 4, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Mr. Kristopher Loy
Title
Fire Chief/Public Safety Director
Phone
(608) 244-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

18 Oxford PL
Madison, WI 53704-5955

Mailing address

18 Oxford PL
Madison, WI 53704-5955
Phone (608) 244-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218000769 WI Part B Supplier - Ambulance Service Supplier 8123477049 Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

18 Oxford Pl
Madison, WI 53704
Phone (608) 244-3390

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1225753122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OXFORD PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045955",
            "telephone_number": "608-244-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OXFORD PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045955",
            "telephone_number": "608-244-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MAPLE BLUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "FIRE CHIEF/PUBLIC SAFETY DIRECTOR",
        "authorized_official_telephone_number": "608-244-3390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.