Active NPI
Venture Medical, PLLC
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1104353770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VENTURE MEDICAL, PLLC
- Practice address
- 5830 E Pima St
Tucson, AZ 85712-5611 - Phone
- (520) 722-5515
- NPI assigned
- May 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Lewis Ramirez, FNP-C
- Title
- Managing Member
- Phone
- (520) 278-8825
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Assisted Living Facility | 310400000X | AP4757 | AZ | |
| Skilled Nursing Facility | 314000000X | AP4757 | AZ |
Addresses
Primary practice location
5830 E Pima St
Tucson, AZ 85712-5611
Mailing address
12410 E Camino del Garanon
Tucson, AZ 85747-9729
Phone (520) 278-8825
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511913600000",
"number": "1104353770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12410 E CAMINO DEL GARANON",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857479729",
"telephone_number": "520-278-8825",
"fax_number": "520-350-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 E PIMA ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125611",
"telephone_number": "520-722-5515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENTURE MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-15",
"last_updated": "2017-11-29",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "520-278-8825",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AP4757",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": "AP4757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.