Active NPI
Estil Strawn, MD
- Reproductive Endocrinology Physician
- Kenosha, WI
National Provider Identifier
1558312207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 24043
- Practice address
- 6815 118TH Ave
Kenosha, WI 53142-8420 - Phone
- (262) 857-5600
- Fax
- (262) 857-1171
- NPI assigned
- May 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24043 | WI | |
| Reproductive Endocrinology Physician | 207VE0102X | 24043 | WI | Primary |
Addresses
Primary practice location
6815 118TH Ave
Kenosha, WI 53142-8420
Mailing address
6815 118TH Ave
Kenosha, WI 53142-8420
Phone (262) 857-5600
Other practice location 1
10400 75th St
Kenosha, WI 53142-7884
Phone (262) 948-5600
Other practice location 2
9200 W Wisconsin Ave
Dept of Obstetrics and Gynecology
Milwaukee, WI 53226-3522
Phone (414) 805-6612
Other practice location 3
10400 75th St
Kenosha, WI 53142-7884
Phone (262) 948-5600
Other practice location 4
9200 W Wisconsin Ave
Dept of Obstetrics and Gynecology
Milwaukee, WI 53226-3522
Phone (414) 805-6612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002000198D | Other | HUMANA | |
| 1558312207 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | estrawn194743@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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 |
|---|---|---|---|
| 24043 | WI | MD | Reproductive Endocrinology Physician |
Interoperability endpoints
- estrawn194743@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1558312207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 118TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428420",
"telephone_number": "262-857-5600",
"fax_number": "262-857-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 118TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428420",
"telephone_number": "262-857-5600",
"fax_number": "262-857-1171"
}
],
"practiceLocations": [
{
"address_1": "10400 75th St",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531427884",
"country_code": "US",
"telephone_number": "262-948-5600",
"fax_number": "262-948-7388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_2": "Dept of Obstetrics and Gynecology",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-6612",
"fax_number": "414-805-6622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 75th St",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531427884",
"country_code": "US",
"telephone_number": "262-948-5600",
"fax_number": "262-948-7388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_2": "Dept of Obstetrics and Gynecology",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-6612",
"fax_number": "414-805-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRAWN",
"first_name": "ESTIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "24043",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "WI",
"license": "24043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000198D",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558312207",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "estrawn194743@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10400 75th St",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531427884",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10400 75th St",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531427884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.