Active NPI
Juni A. Femi-Pearse, M.D.
- Surgery Physician
- Virginia Beach, VA
National Provider Identifier
1871588145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101221384
- Practice address
- 5484 Memorial Dr
Virginia Beach, VA 23455-3782 - Phone
- (505) 702-5404
- Fax
- (757) 228-7323
- NPI assigned
- Sep 13, 2005
- Last updated
- Jan 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35066 | KY | |
| Surgery Physician | 208600000X | 0101221384 | VA | Primary |
Addresses
Primary practice location
5484 Memorial Dr
Virginia Beach, VA 23455-3782
Mailing address
5484 Memorial Dr
Virginia Beach, VA 23455-3792
Phone (505) 702-5404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007310358 | Medicaid | VA | |
| 64001043 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35066 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1871588145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5484 MEMORIAL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234553792",
"telephone_number": "505-702-5404",
"fax_number": "757-228-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5484 MEMORIAL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234553782",
"telephone_number": "505-702-5404",
"fax_number": "757-228-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEMI-PEARSE",
"first_name": "JUNI",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "35066",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101221384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007310358",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64001043",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.