Organization Active NPI

Venture Medical, PLLC

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1104353770
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Nov 29, 2017

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.