SSB Ventures, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SSB VENTURES, LLC

Doing business as

Medi-Weightloss Clinics-Scottsdale

Practice address

9377 E Bell Rd Ste 225
Scottsdale, AZ 85260-1850

Phone

(480) 596-4014

Fax

(480) 922-4535

NPI assigned

Aug 22, 2016

Last updated

Aug 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nora Y Brown

Title

Owner

Phone

(480) 596-4014

Specialties & licenses 1

Addresses

Other names 1

• Medi-Weightloss Clinics-Scottsdale Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Jane Fontius, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1881662351
  NPD (past)
• Diana L Handler, NP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1528379807
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1023563855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601850",
            "telephone_number": "480-596-4014",
            "fax_number": "480-922-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601850",
            "telephone_number": "480-596-4014",
            "fax_number": "480-922-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSB VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-596-4014"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss Clinics-Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SRC1 II LLC (SafeNet Home Health Services)
• Nicole Srednicki, FNP
• Srilekha Sridhara, MD
• Srivani K Srikantiah, M.D.
• Linda Susan Sroka, NP
• Heather N St Peter, M.D.
• Lynn M St Pierre, ANP
• Charlann Carroll Staab, CNP
• Tiffany Marie Staab, FNP-C
• Megan Stacey, LAC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.