JON VIMMERSTEDT DO
NPI 1649019076
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Active since May 24, 2024
18701 N 67TH AVE, GLENDALE, AZ 85308(623) 561-1000 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon Vimmerstedt Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON VIMMERSTEDT DO (NPI 1649019076) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1649019076
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJON VIMMERSTEDTCredential: DO
Location Address18701 N 67TH AVEGlendale, AZ 85308-7100
Mailing Address1641 E Aurelius AvePhoenix, AZ 85020-5559
Sole ProprietorYes
Enumeration DateMay 24, 2024
NPPES CertifiedApril 22, 2024
NPI 1649019076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
18701 N 67TH AVE, Glendale, AZ 85308

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Internal Medicine (Infectious Disease)
18701 N 67TH AVE
GLENDALE, AZ 85308
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Surgery
18701 N 67TH AVE
GLENDALE, AZ 85308
Hospitalist
18701 N 67TH AVE
GLENDALE, AZ 85308
Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Vimmerstedt's NPI number?

The NPI number for Jon Vimmerstedt is 1649019076. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Where is Jon Vimmerstedt located?

Jon Vimmerstedt practices at 18701 N 67th Ave, Glendale, AZ 85308. The listed phone number is (623) 561-1000.

What is Jon Vimmerstedt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jon Vimmerstedt was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.