NPIMap

Organization Active NPI

Stephen R McIntyre MD PLLC

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1326130915
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0093-00230 Issued in NC
Legal business name
STEPHEN R MCINTYRE MD PLLC
Practice address
1940 Briarwood Dr
Suite B
Hickory, NC 28602-5497
Phone
(828) 294-1116
Fax
(828) 294-0096
NPI assigned
Sep 29, 2006
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Stephen R McIntyre, M.D.NPI 1861475725
Title
Owner
Phone
(828) 294-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0093-00230 NC Primary

Addresses

Primary practice location

1940 Briarwood Dr
Suite B
Hickory, NC 28602-5497

Mailing address

1940 Briarwood Dr
Suite B
Hickory, NC 28602-5497
Phone (828) 294-1116

Other identifiers 2

IdentifierTypeStateIssuer
56809OtherNCBCBS OF NORTH CAROLINA
8956809MedicaidNC

National Provider Directory

National Provider Directory

Locations

1940 Briarwood Dr
#B
Hickory, NC 28602
Phone (828) 294-1116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1326130915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 BRIARWOOD DR",
            "address_2": "SUITE B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025497",
            "telephone_number": "828-294-1116",
            "fax_number": "828-294-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 BRIARWOOD DR",
            "address_2": "SUITE B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025497",
            "telephone_number": "828-294-1116",
            "fax_number": "828-294-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R MCINTYRE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-294-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0093-00230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "56809",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8956809",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.