Provider Demographics
NPI:1639883911
Name:VENTURA MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:VENTURA MEDICAL SERVICES LLC
Other - Org Name:BTHERE HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-319-9485
Mailing Address - Street 1:4 UNION PARK RD # 8
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 UNION PARK RD # 8
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1711
Practice Address - Country:US
Practice Address - Phone:207-605-8606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty