City of New Berlin

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

60-00110 Issued in WI

Legal business name

CITY OF NEW BERLIN

Practice address

16300 W National Ave
New Berlin, WI 53151-5510

Phone

(262) 785-6120

Fax

(262) 785-6130

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Andrew Wayne Wahl

Title

Asst Chief- EMS Division

Phone

(262) 785-6120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of New Berlin Fire Department Former legal business name

Tax ID family

City of New Berlin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of New Berlin

  • Ambulance
  • New Berlin, WI
  • NPI 1457335861
  NPD tax ID

Locations

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669475331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "262-567-5171",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515510",
            "telephone_number": "262-785-6120",
            "fax_number": "262-785-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW BERLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASST CHIEF- EMS DIVISION",
        "authorized_official_telephone_number": "262-785-6120"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WI",
            "license": "60-00110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41358200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of New Berlin Fire Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paige Christensen
• Kennon Christian
• Tony M Chuang, MD
• Blake Church, OD
• City of New Berlin
• Melissa Anne Clifford, MPT
• Cynthia Clough, OTR
• Kathryn Rae Cohen, MD
• Cassandra Coleman, BSN, RN
• Column Rehab Services, Inc.

• Basic Emergency Medical Technician in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Basic Emergency Medical Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.