City of Plymouth

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001248 Issued in WI

Legal business name

CITY OF PLYMOUTH

Practice address

111 E Main St
Plymouth, WI 53073-1742

Phone

(920) 893-1331

NPI assigned

Jul 23, 2007

Organization subpart

Yes

Parent organization

CITY OF PLYMOUTHAs reported in NPPES

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

Authorized official

Name

Jason McCoy

Title

Assistant Chief

Phone

(920) 980-3795

Specialties & licenses 1

Addresses

Other names 1

• Plymouth Fire Department Ambulance Squad Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

City of Plymouth

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1992905418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530730294",
            "telephone_number": "920-980-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731742",
            "telephone_number": "920-893-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PLYMOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF PLYMOUTH",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "920-980-3795"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Fire Department Ambulance Squad",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plymouth Fire Department Ambulance Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephani Joy Casarez
• Amy Cavanaugh, NP
• Jan W Cecka, D.C
• Jenna M Chaussee, PT
• Chiro-Health Chiropractic Care Center LLC
• County of Sheboygan
• April L Decker, PT
• Tanner J Deist, PT
• Shannon Diamond, DPT
• Tracy Dumke, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.