Active NPI
Gail F McIntyre, M.D.
- Adolescent Medicine (Family Medicine) Physician
- Fort Gratiot, MI
National Provider Identifier
1366554891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- 4301030995
- Practice address
- 3061 Commerce Dr
Suite 5
Fort Gratiot, MI 48059-3881 - Phone
- (810) 385-6663
- Fax
- (810) 385-6322
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 4301030995 | MI | Primary |
Addresses
Primary practice location
3061 Commerce Dr
Suite 5
Fort Gratiot, MI 48059-3881
Mailing address
3061 Commerce Dr
Suite 5
Fort Gratiot, MI 48059-3881
Phone (810) 385-6663
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P34737F | Other | MI | BLUE CARE NETWORK |
| 07400172 | Other | MI | BCBS |
| 4275999 | Other | MI | CIGNA |
| 137737 | Other | MI | CARE CHOICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. M. Rousseau, PLLC | Past | Accepting new patients | |
| Lakeview Chiropractic Inc | Past | Accepting new patients |
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.
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- Chiropractor
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- NPI 1841348695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366554891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 COMMERCE DR",
"address_2": "SUITE 5",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480593881",
"telephone_number": "810-385-6663",
"fax_number": "810-385-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 COMMERCE DR",
"address_2": "SUITE 5",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480593881",
"telephone_number": "810-385-6663",
"fax_number": "810-385-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "GAIL",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "MI",
"license": "4301030995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P34737F",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07400172",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4275999",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "137737",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.