Organization Active NPI

JMM Ventures, LLC

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1982845012
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30147 Issued in AZ
Legal business name
JMM VENTURES, LLC
Practice address
19610 N 68TH Ave
Glendale, AZ 85308-5515
Phone
(623) 215-6532
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Ty Robert Witt, MD
Title
President
Phone
(623) 215-6532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 30147 AZ Primary

Addresses

Primary practice location

19610 N 68TH Ave
Glendale, AZ 85308-5515

Mailing address

19610 N 68TH Ave
Glendale, AZ 85308-5515
Phone (623) 215-6532

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1982845012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19610 N 68TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085515",
            "telephone_number": "623-215-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19610 N 68TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085515",
            "telephone_number": "623-215-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMM VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-215-6532",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "30147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.