Michael P Estivo, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

05-23235 Issued in KS

Practice address

11227 Lakeview Ave
Lenexa, KS 66219-1399

Phone

(913) 730-1100

Fax

(913) 730-1101

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Wichita Bone & Joint Center, PA

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1912021551
  NPD (past) Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1518905397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 LAKEVIEW AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191399",
            "telephone_number": "913-730-1100",
            "fax_number": "913-730-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LAKEVIEW AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191399",
            "telephone_number": "913-730-1100",
            "fax_number": "913-730-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIVO",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "05-23235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231120C",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Ernst
• Rebecca Eschmann, LMSW
• Rahel T Eshete, MD
• Chyler Eskie
• Essilor Laboratories of America, Inc.
• Diane Etzel-Wise, CTRS
• Eurofins Ascend Clinical, LLC
• Eurofins Transplant Genomics, LLC
• Eurofins Viracor LLC
• Eurofins Viracor Oncology, LLC

• Orthopaedic Surgery Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.