City of Stoughton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001176 Issued in WI

Legal business name

CITY OF STOUGHTON

Practice address

516 S 4TH St
Stoughton, WI 53589-2402

Phone

(608) 873-6500

Fax

(608) 873-0771

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Ann Schimelpfenig

Title

Director

Phone

(608) 873-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stoughton Area Emergency Medical Services 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": "1448928000000",
    "number": "1972610608",
    "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": "530127340",
            "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": "516 S 4TH ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892402",
            "telephone_number": "608-873-6500",
            "fax_number": "608-873-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STOUGHTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SCHIMELPFENIG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-873-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41305500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoughton Area Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvana V Castro, COTA
• Crystal A Chavous, CPHT
• Nicole M Chicker, APNP
• Christensen Chiropractic, SC
• Monica Sue Christensen, DC
• Annique Renee Cohen-Wichner, L.M.F.T.
• Complete Care at Nazareth LLC
• Kara Elise Conley, PT, DPT
• Nicholas Cox, PHARMD
• Christina M Czappa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.