Individual provider Active NPI

Jose A Ventosa, M.D.

  • Internal Medicine Physician
  • Uniontown, OH
National Provider Identifier
1457422032
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.056929 Issued in OH
Practice address
1402 Boettler Rd
Suite C
Uniontown, OH 44685-9584
Phone
(330) 899-0103
Fax
(330) 899-0268
NPI assigned
Nov 13, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.056929 OH Primary

Addresses

Primary practice location

1402 Boettler Rd
Suite C
Uniontown, OH 44685-9584

Mailing address

1402 Boettler Rd
Suite C
Uniontown, OH 44685-9584
Phone (330) 899-0103

Other identifiers 1

IdentifierTypeStateIssuer
0724461MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.056929OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1457422032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BOETTLER RD",
            "address_2": "SUITE C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859584",
            "telephone_number": "330-899-0103",
            "fax_number": "330-899-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BOETTLER RD",
            "address_2": "SUITE C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859584",
            "telephone_number": "330-899-0103",
            "fax_number": "330-899-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTOSA",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.056929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0724461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.