Village of Plymouth

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF PLYMOUTH

Practice address

911 Mary Fate Park Dr
Plymouth, OH 44865

Phone

(419) 687-5101

Fax

(419) 687-9046

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Diann Jamerson

Title

Fiscal Officer

Phone

(419) 687-4331

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Plymouth Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1992872022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W BROADWAY ST",
            "city": "PLYMOUTH",
            "state": "OH",
            "postal_code": "448651108",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MARY FATE PARK DR",
            "city": "PLYMOUTH",
            "state": "OH",
            "postal_code": "44865",
            "telephone_number": "419-687-5101",
            "fax_number": "419-687-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF PLYMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "JAMERSON",
        "authorized_official_first_name": "DIANN",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-687-4331"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000499286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Seaman
• Lana F Stephens, LPN
• Jeffery Stoller
• Cierra Trotter
• Nicole Lerae Varkonda, LISW
• Ashley Lee Ward, STNA
• Willard Foods Inc
• Winbigler & Zitko Optometrists LTD

• Land Ambulance in Plymouth, OH
• Providers in Plymouth, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.