Western Lakes Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001209 Issued in WI

Legal business name

WESTERN LAKES FIRE DISTRICT

Practice address

1400 Oconomowoc Pkwy
Oconomowoc, WI 53066-4660

Phone

(262) 965-2262

Fax

(262) 244-7417

NPI assigned

Jan 16, 2007

Last updated

Apr 26, 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

Mr. Timothy L Meyer

Title

Deputy Chief

Phone

(262) 965-2262

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1588715213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OCONOMOWOC PKWY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664660",
            "telephone_number": "262-965-2262",
            "fax_number": "262-244-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OCONOMOWOC PKWY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664660",
            "telephone_number": "262-965-2262",
            "fax_number": "262-244-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN LAKES FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "262-965-2262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41353300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Weil, PHARMD
• Maggie A Weissman, APNP
• Timothy S Welsch, PA
• Cheyley Welsh
• Mark R Wessling, MD
• Timothy W Westlake, M.D.
• Wholesome LLC
• Jordan Wickman, PT
• Elizabeth Widicus, OT
• Jodi L Wiebelhaus, NP

• Land Ambulance in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.