JMM Ventures

Primary specialty

SpecialistTaxonomy code 174400000X

License

30147 Issued in AZ

Legal business name

JMM VENTURES

Practice address

5310 W Thunderbird Rd
Ste 308
Glendale, AZ 85306

Phone

(623) 412-2229

Fax

(602) 314-6662

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

Ty Witt, MDNPI 1467444828

Title

Physician

Phone

(623) 412-2229

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ty witt md Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ty Robert Witt, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
  • NPI 1467444828
  NPD (past) Authorized official

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1437458098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD",
            "address_2": "STE 308",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "623-412-2229",
            "fax_number": "602-314-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD",
            "address_2": "STE 308",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "623-412-2229",
            "fax_number": "602-314-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMM VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-412-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467444828",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ty witt md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Anthony Jimenez II, PHARMD
• Melissa Jimenez, SLPA
• Tricia L Jimenez, M.A., LPC
• Yamei Jing
• Jeffrey S Jirak, LPC, LISAC
• JMM Ventures, LLC
• Joel S Sellers DO LLC
• Ramanpreet Johal, DO
• Jeffrey S Johannesmeyer, DMD
• John C Lincoln , LLC

• Specialist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.