JWT Medical PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

42825 Issued in AZ

Legal business name

JWT MEDICAL PLC

Practice address

39733 N Lost Legend Dr
Anthem, AZ 85086-3643

Phone

(763) 443-0236

Fax

(623) 207-4872

NPI assigned

Mar 24, 2013

Organization subpart

No

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

Authorized official

Name

John W Torseth, M.D.

Title

President

Phone

(763) 443-0236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364083200000",
    "number": "1043552458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39733 N LOST LEGEND DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863643",
            "telephone_number": "763-443-0236",
            "fax_number": "623-207-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39733 N LOST LEGEND DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863643",
            "telephone_number": "763-443-0236",
            "fax_number": "623-207-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWT MEDICAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-24",
        "last_updated": "2013-03-24",
        "status": "A",
        "authorized_official_last_name": "TORSETH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-443-0236",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "42825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynn Johnson, M.ED
• Joseph Matthew Johnson
• Shauna Jones
• Judify Health Services
• Gayle Jumper
• Natalie C Kahle, FNP-C
• Ida Kargar
• Mikaela Elyse Kirby, OTD, OTR/L
• Stephen Kittridge, LCSW
• Robert Bradley Kohl, DDS

• Medical Specialty Clinic/Center in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; 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.