Feliciano J Jusay, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101023290 Issued in VA

Practice address

342 Virginia Ave
Wytheville, VA 24382-1185

Phone

(276) 228-2191

Fax

(276) 228-2801

NPI assigned

Jan 31, 2006

Last updated

Sep 13, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1538130174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 VIRGINIA AVE",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821185",
            "telephone_number": "276-228-2191",
            "fax_number": "276-228-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 VIRGINIA AVE",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821185",
            "telephone_number": "276-228-2191",
            "fax_number": "276-228-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSAY",
        "first_name": "FELICIANO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101023290",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101023290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6247661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Renee Johnson-Clark, COTA
• Molly L Johnson, FNP-BC
• Teddy R Johnson, DPM
• Darren B Jones, B.S.
• Matthew A Jones, NP-C
• Linda Kay Justice
• Ashleigh D. Justus, LICENSED PHYSICAL TH
• K -VA -T Food Stores Inc (Food City Pharmacy #850)
• Keene Chiropractic LLC
• Billie Carol Keene, CERTIFIED OCCUPATION

• Family Medicine Physician in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.