City of Wayne

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

821028 Issued in MI

Legal business name

CITY OF WAYNE

Doing business as

Wayne Fire Department

Practice address

3300 S Wayne Rd
Wayne, MI 48184-1233

Phone

(734) 722-1111

Fax

(734) 722-5076

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Stradtner

Title

Fire Chief

Phone

(734) 722-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wayne Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1326086794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "734-479-6300",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841233",
            "telephone_number": "734-722-1111",
            "fax_number": "734-722-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "STRADTNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "734-722-1111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "821028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE PROV - BCBSM",
            "identifier": "5909H200610",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183000167",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khawar Aslam Chaudhry, M.D.
• Kevin Cheolas
• Inseok Choi, DDS
• Iman Choucair, DO
• Dipti Christian
• Cutrina Patrice Claxton
• Brieanna S Clay
• Jasmine Close, LLMSW-CLINICAL
• Cobb Pharmacy
• Donna La Jean Cobb, R.N.

• Land Ambulance in Wayne, MI
• Providers in Wayne, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.