Peter Gibbs Ventura, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

58686931205 Issued in UT

Practice address

2376 N 400 E
Ste 202
Tooele, UT 84074-3413

Phone

(435) 833-9600

NPI assigned

Nov 10, 2005

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pventura@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ENT Surgical Associates PC

  • Otolaryngology Physician
  • Tooele, UT
  • NPI 1598747768
  Medicare reassignment NPD Authorized official
• ENT Surgical Associates PC

  • Otolaryngology Physician
  • Tooele, UT
  • NPI 1497924229
  NPD
• Cornerstone Medical Assoc., LLC

  • Pediatrics Physician
  • Perry, GA
  • NPI 1275575888
  NPD (past)
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1144201690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 N 400 E",
            "address_2": "STE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-833-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 N 400 E",
            "address_2": "STE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-833-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "PETER",
        "middle_name": "GIBBS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "58686931205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Valdez, SSW
• Daniela Valerio
• Valley Family Medicine PC
• Valley Mental Health Incorporated
• Valley West Health (Valley West Medical, LLC)
• Clair Reed Vernon, DMD
• Heidi Vernon, LMFT
• Igor Vidovic
• Matthew Vincent, CCM
• Samantha Marie Vincent

• Otolaryngology Physician in Tooele, UT
• Providers in Tooele, UT by specialty
• Otolaryngology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.