Cape and Islands Emergency Medical Services System, CIEMSS, serves as the liaison organization between the EMS providers in the Cape Cod area and the area hospital Medical Directors and the Massachusetts Department of Health – Office of Emergency Medical Services. CIEMSS provides coordinated quality assurance and improvement activities, assistance with regulatory compliance and a variety of EMS related education and training programs. Established in 1974, CIEMSS has continuously been committed to the development of emergency medical care within the region and continues to this day its commitment to help provide the best pre-hospital medical care.



  • Director of Cape and Islands EMS System, Inc.

    William Flynn, Jr. NRP

  • Rick Knowlton

    Rick Knowlton, NRP

Affiliate Hospital
Medical Directors

  • Dr. Jacob Crowell
  • Dr. Crowell serves as the Cape Cod Hospital Affiliate Medical Director, Medical Director of Cape & Islands EMS System and is a Cape Cod Hospital Emergency Department Physician.

    Dr. Crowell is also a call firefighter with the Dennis Fire Department.

  • Dr. Bemis serves as the Falmouth Hospital Affiliate Medical Director and is a Falmouth Hospital Emergency Department Physician.

    Medical School:
    Boston University School of Medicine, Boston, MA
  • Dr. Nataniel T Vasquez

    Dr. Nataniel T Vasquez

  • Dr. Nataniel T Vasquez, MD, is a Emergency Medicine Specialist in Fall River and serves as the Tobey Hospital Affiliate Hospital Medical Director.

    He attended and graduated with honors from medical school in 2008, having many years of diverse experiences.

  • Dr. Karen Casper

    Dr. Karen Casper

  • Dr. Casper serves as the Affiliate Hospital Medical Director for Martha’s Vineyard Hospital. Dr. Casper lives and works on Martha’s Vineyard with her husband Pieter Pil MD and their 4 children.

    Medical School: Univ. of Texas Medical Branch at Galveston
    Residency: Yale-New Haven Hospital & Boston Medical Center
    Board Certification: Emergency Medicine


  • Dorreen Messier
    Office Manager
  • Mark Heller, NRP
    Training Coordinator
    Public Education Coordinator
  • Matt Malone, NRP
    Training Coordinator

Board of Directors

  • Chris Olsen
  • Anthony Pike
    Vice President
  • Alden Cook
  • Robert Moran