TOWN OF IXONIA (NPI# 1730133299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730133299 |
| Entity Type | Organization |
| Organization Name | TOWN OF IXONIA |
| Other Organization Name | TOWN OF IXONIA FIRE & EMS |
| Practice Address |
N8320 North St Ixonia WI 53036-9710 |
| Mailing Address |
Po Box 109 Ixonia WI 53036-0109 |
| Practice Telephone | 2622612440 |
| Mailing Telephone | 9202612440 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | MATT PETRIE (CHIEF) |
| Authorized Official Telephone | 9202612440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41339600 | 05 |
| Other Name | Type Code |
|---|---|
| Town of Ixonia Fire & EMS | Doing Business As Name - Organization |
| Street Address |
N8320 NORTH ST |
| City | IXONIA |
| State | WI |
| Zip Code | 53036-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043239676 | Kerry Wayne Lynch | Psychologist | 8380 North St., Ixonia, WI 53036 | 2006-07-18 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 1851797070 | Kim Michele Jaeger | Counselor | N372 Lincoln Rd, Ixonia, WI 53036-9508 | 2014-11-16 |
| 1376956367 | Jennifer Michele Gates | Licensed Practical Nurse | W2093 Gary Ln, Ixonia, WI 53036-9724 | 2014-06-06 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1851797070 | Kim Michele Jaeger | Counselor | N372 Lincoln Rd, Ixonia, WI 53036-9508 | 2014-11-16 |
| 1376956367 | Jennifer Michele Gates | Licensed Practical Nurse | W2093 Gary Ln, Ixonia, WI 53036-9724 | 2014-06-06 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| 1043239676 | Kerry Wayne Lynch | Psychologist | 8380 North St., Ixonia, WI 53036 | 2006-07-18 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.