Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael David Puricelli, MD

Individual provider Otolaryngology Physician · NPI 1679834089

Michael David Puricelli, MD is an Otolaryngology Physician in Overland Park, Kansas. Practices as a sole proprietor and works from 2 locations. Licensed in Kansas, Missouri and Wisconsin.

Licensed in
KS, MO, WI
In the registry since
2012
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5808 W 110th St
Overland Park, KS 66211-2504
Phone: (913) 696-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Highland Ave, Madison, WI 53792-1009 — (608) 263-6420

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence 2024039721 (MO)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 73082-20 (WI)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 04-49773 (KS)
Otology & Neurotology Physician Taxonomy 207YX0901X · Licence 2024039721 (MO)
Otology & Neurotology Physician Taxonomy 207YX0901X · Licence 04-49773 (KS)

Record details

NPI number1679834089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2012
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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