Organization Active NPI

Ryan Bros Fort Atkinson LLC

  • Land Ambulance
  • Fort Atkinson, WI
National Provider Identifier
1316086002
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RYAN BROS FORT ATKINSON LLC
Practice address
1210 Arndt St
Fort Atkinson, WI 53538-2646
Phone
(920) 691-0060
Fax
(920) 691-0062
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Mr. Norman Rosenberg
Title
Cfo
Phone
(201) 240-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1210 Arndt St
Fort Atkinson, WI 53538-2646

Mailing address

922 S Park St
Madison, WI 53715-1834
Phone (608) 257-9591

Other identifiers 1

IdentifierTypeStateIssuer
41359300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000429 WI Part B Supplier - Ambulance Service Supplier 3971787185 Practice locations: Fort Atkinson, WI

National Provider Directory

National Provider Directory

Locations

1210 Arndt St
Fort Atkinson, WI 53538
Phone (608) 257-9593

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1316086002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151834",
            "telephone_number": "608-257-9591",
            "fax_number": "608-257-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ARNDT ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382646",
            "telephone_number": "920-691-0060",
            "fax_number": "920-691-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN BROS FORT ATKINSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-240-0171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41359300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.