City of Port Washington

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF PORT WASHINGTON

Practice address

1540 West Grand Avenue
Port Washington, WI 53074

Phone

(262) 284-3962

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Joseph DeboerNPI 1053608828

Title

Fire Chief

Phone

(262) 284-2891

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 2

• City of Port Washington Fire Dept Doing business as
• City of Port Washington Fire Dept Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Jon Deboer, PA-C

  • Physician Assistant
  • Fond Du Lac, WI
  • NPI 1053608828
  NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1508810102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 WEST GRAND AVENUE",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "53074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 WEST GRAND AVENUE",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "53074",
            "telephone_number": "262-284-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORT WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "262-284-2891"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000082642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "015915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VITAS HEALTHCARE CORP",
            "identifier": "0000005721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1014456",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41305000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41305000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Port Washington Fire Dept",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Port Washington Fire Dept Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Eleanor Chier, P.T.
• Virati S Chokshi, DDS
• Christa Christiansen, RN
• Kathryn H Chronis
• Michael Thomas Churchwell, M.D.
• Jessica Clayborn, LPC
• Meghan Cleereman
• Julia Comerford
• Comprehensive Counseling Services
• Jessica Kristine Conmey, PA- C

• Land Ambulance in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.