City of Wausau

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WAUSAU

Practice address

606 E Thomas St
Wausau, WI 54403-4737

Phone

(715) 261-6645

Fax

(715) 261-0319

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mary A Groat, CPA

Title

Finance Director/Treasurer

Phone

(715) 261-6645

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1699852178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GRANT ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034737",
            "telephone_number": "715-261-6645",
            "fax_number": "715-261-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E THOMAS ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034737",
            "telephone_number": "715-261-6645",
            "fax_number": "715-261-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WAUSAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "GROAT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCE DIRECTOR/TREASURER",
        "authorized_official_telephone_number": "715-261-6645",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41320500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyde M Chumbley, M.D.
• Jan Z Ciejka, MD
• Teresa Ciejka
• Carie J Cihlar, PA-C
• Erin Cimino, LPC
• Erica R Ciulla, APNP
• Tiffany Ann Clairmore, SAC-IT
• Matthew Thomas Clancy, M.D.
• Matthew L Clark, MD
• Deanna Jean Clarke, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.