Charles McIntosh, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34004666 Issued in OH

Practice address

405 W. Grand Avenue
Dayton, OH 45405-4796

Phone

(937) 723-3210

Fax

(937) 748-1407

NPI assigned

Jan 18, 2007

Last updated

Feb 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Emergency Medicine

Education

Ohio University, College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Physicians of Cincinnati LTDGroup PAC ID 5294044137, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Merit-based Incentive Payment System (MIPS)

Final score

96.9 of 100Reported as group

Quality

91.17

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Emergency Medicine Physicians of Cincinnati, LTD.

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1922483213
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1215080049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 ROYAL BIRKDALE DR.",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669597",
            "telephone_number": "937-748-1736",
            "fax_number": "937-748-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W. GRAND AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054796",
            "telephone_number": "937-723-3210",
            "fax_number": "937-748-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34004666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820857",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00195301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000032022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MCH of Ohio, Inc. (Deaconess HomeCare)
• MCH of Ohio, Inc. (MCH Cincinnati)
• Erin McHale
• Anne McHugh, MD
• Wendi McHugh, CRNA
• Christopher David McIntosh, D.O.
• Courtney McIntosh, RN
• Jason Dwight McIntosh, D.O.
• Jemone McIntosh
• Jessica McIntosh, LPN

• Emergency Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
• 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.

Verify at the official NPI Registry.