MEDICARE: DR. JOHN CARL VENTURA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01089382A	IN
2	207P00000X	Emergency Medicine Physician	0101238619	VA
3	207P00000X	Emergency Medicine Physician	29503	WV
4	208D00000X	General Practice Physician	01089382A	IN
5	207P00000X	Emergency Medicine Physician	036151467	IL

General Provider Information

NPI Number	:	1881665966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN CARL VENTURA MD

Provider Business Mailing Address
First Line	:	721 E COURT ST
Second Line	:
City	:	PARIS
State	:	IL
Zip	:	61944-2420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 HEALTH CENTER DR
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-4644
Country	:	US
Telephone Number	:	217-258-2551
Fax Number	:	217-258-2256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	07/22/2025

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Directions to “ DR. JOHN CARL VENTURA MD” Practice Location

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