Healthcare Provider Details

I. General information

NPI: 1063443711
Provider Name (Legal Business Name): MICHAEL FRANCIS NYP D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22215 W 58TH ST
SHAWNEE KS
66226-7912
US

IV. Provider business mailing address

22215 W 58TH ST
SHAWNEE KS
66226-7912
US

V. Phone/Fax

Practice location:
  • Phone: 816-813-1460
  • Fax:
Mailing address:
  • Phone: 816-813-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2008008121
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2008008121
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2008008121
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number05-35685
License Number StateKS
# 5
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberE-16475
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: