John P Estivo, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5-25156 Issued in KS

Practice address

6634 W Central Ave
Wichita, KS 67212-3315

Phone

(316) 946-0096

Fax

(316) 946-9920

NPI assigned

Mar 24, 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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1598725418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "ESTIVO",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "5-25156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235100C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly April Estep-Bosarge, CRNA
• Gerald J Estep, MD
• Thomas H Estep, MD
• Maya Estephan, MD
• Sue Estes, LCMFT
• Jason Etheredge, MD, PHD
• Kyle Etheridge
• Jason C Eubank, O.D
• Christine Eubanks
• Youseline Eustache, FNP-C

• Orthopaedic Surgery Physician in Wichita, KS
• Providers in Wichita, 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 Mar 4, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.