Active NPI
Kevin Petronela Juozapavicius, D.O., MS, BS
- Emergency Medicine Physician
- Columbus, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.010626
- Practice address
- 201 Independence
Columbus Afb
Columbus, MS 39710-5300 - Phone
- (662) 434-2273
- NPI assigned
- Jan 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4305 | OK | |
| Emergency Medicine Physician | 207P00000X | 34.010626 | OH | Primary |
Addresses
Primary practice location
201 Independence
Columbus Afb
Columbus, MS 39710-5300
Mailing address
1087 Stark Rd
Apt 5E
Starkville, MS 39759-3537
Phone (918) 510-0116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 369-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4305 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
2400 Lakeview Dr
#150
Beavercreek, OH 45431
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1912986480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 STARK RD",
"address_2": "APT 5E",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593537",
"telephone_number": "918-510-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 INDEPENDENCE",
"address_2": "COLUMBUS AFB",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397105300",
"telephone_number": "662-434-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUOZAPAVICIUS",
"first_name": "KEVIN",
"middle_name": "PETRONELA",
"name_prefix": "Dr.",
"credential": "D.O., MS, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4305",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.010626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.