Active NPI
Joseph Stanley Restivo, DO
- Anatomic Pathology & Clinical Pathology Physician
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- U0266
- Practice address
- 3535 S I 35 E
Denton, TX 76210-6850 - Phone
- (940) 384-3810
- Fax
- (940) 565-9588
- NPI assigned
- Jul 19, 2007
- Last updated
- Nov 2, 2022
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | U0266 | TX | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 05-35295 | KS |
Addresses
Primary practice location
3535 S I 35 E
Denton, TX 76210-6850
Mailing address
PO Box 745390
Atlanta, GA 30374-5390
Phone (940) 384-3810
Other practice location 1
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-3275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1209 Brook Ave
Wichita Falls, TX 76301-5601
Phone (940) 322-7284
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of North Texas, P a | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Associates of North Texas, P a | Current | Accepting new patients |
Locations
1107 Brook Ave
Wichita Falls, TX 76301
Phone (940) 322-0202
1209 Brook Ave
Wichita Falls, TX 76301
Phone (940) 322-7284
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Wichita Falls, TX
- NPI 1730367541
-
- Anatomic Pathology Physician
- Wichita Falls, TX
- NPI 1740231471
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1992905814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745390",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745390",
"telephone_number": "940-384-3810",
"fax_number": "940-565-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S I 35 E",
"city": "DENTON",
"state": "TX",
"postal_code": "762106850",
"telephone_number": "940-384-3810",
"fax_number": "940-565-9588"
}
],
"practiceLocations": [
{
"address_1": "2316 E Meyer Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641321136",
"country_code": "US",
"telephone_number": "816-276-3275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESTIVO",
"first_name": "JOSEPH",
"middle_name": "STANLEY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "U0266",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "05-35295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.