NPIMap

Organization Active NPI

Mid Continent Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Wichita, KS
National Provider Identifier
1568422152
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
05-25156 Issued in KS
Legal business name
MID CONTINENT ORTHOPEDICS, P.A.
Practice address
6634 W Central Ave
Wichita, KS 67212-3315
Phone
(316) 946-0096
Fax
(316) 946-9920
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. John P Estivo, D.O.
Title
Owner
Phone
(316) 946-0096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 05-25156 KS Primary

Addresses

Primary practice location

6634 W Central Ave
Wichita, KS 67212-3315

Mailing address

PO Box 12368
Wichita, KS 67277-2368
Phone (316) 946-0096

Other identifiers 1

IdentifierTypeStateIssuer
100235100CMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1568422152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12368",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672772368",
            "telephone_number": "316-946-0096",
            "fax_number": "316-946-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123315",
            "telephone_number": "316-946-0096",
            "fax_number": "316-946-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CONTINENT ORTHOPEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "ESTIVO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-946-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "05-25156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235100C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.