Active NPI
Plymouth Joint School District
- Local Education Agency (LEA)
- Plymouth, WI
National Provider Identifier
1710166277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- PLYMOUTH JOINT SCHOOL DISTRICT
- Practice address
- 125 S Highland Ave
Plymouth, WI 53073-2566 - Phone
- (920) 892-5022
- Fax
- (920) 892-5078
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne Gamoke
- Title
- Pupil Services Director
- Phone
- (920) 892-5022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
125 S Highland Ave
Plymouth, WI 53073-2566
Mailing address
125 S Highland Ave
Plymouth, WI 53073-2566
Phone (920) 892-5022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44218400 | Medicaid | WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2226809 | Plymouth School District | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
125 S Highland Ave
Plymouth, WI 53073
Phone (920) 892-2661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1710166277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S HIGHLAND AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732566",
"telephone_number": "920-892-5022",
"fax_number": "920-892-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S HIGHLAND AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530732566",
"telephone_number": "920-892-5022",
"fax_number": "920-892-5078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLYMOUTH JOINT SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "GAMOKE",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "PUPIL SERVICES DIRECTOR",
"authorized_official_telephone_number": "920-892-5022"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44218400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, WI
- Scott R Peschke, MD
- Plymouth Ambulance Service, Inc (Plymouth Ambulance Service)
- Plymouth Care Center LLC (D/B/a Atrium Post Acute Care of Plymouth)
- Plymouth Chiropractic, SC
- Plymouth Family Physicians, S.C.
- Ashlyn Prisinger, PT
- Dawn H.S. Reinemann, PHD
- Jennifer Ann-Gabrys Rench, MD
- Dona Ann Richardson, ATC
- James Rayohl Richter II, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.