City of Pewaukee

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000286 Issued in WI

Legal business name

CITY OF PEWAUKEE

Doing business as

Pewaukee Fire Department

Practice address

W239N2242 Pewaukee Rd
Waukesha, WI 53188-1009

Phone

(262) 691-5607

Fax

(262) 523-4618

NPI assigned

Aug 25, 2006

Last updated

Mar 7, 2011By 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

Michelle Scherff Sulik

Title

Vice President

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PEWAUKEE FIRE DEPARTMENT Doing business as

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1861509598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W239N2242 PEWAUKEE RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881009",
            "telephone_number": "262-691-5607",
            "fax_number": "262-523-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PEWAUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHERFF SULIK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-375-9610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41357900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEWAUKEE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalie Cifaldi
• Karen Ann Cimbalnik
• Circle Health SC
• Angela Ciric, RN
• Cathie Cissne, RDH
• City of Waukesha
• Paulina Ciurro-Ott, MSW, LCSW
• CJ Hussussian MD SC
• Wingate Foster Clapper, MD
• Clarity Eyecare 2401, SC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.