Active NPI
Gerald C McIntosh, MD
- Neurology Physician
- Fort Collins, CO
National Provider Identifier
1376554071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22494
- Practice address
- 2315 E Harmony Rd
Suite 110
Fort Collins, CO 80528-8620 - Phone
- (970) 482-4373
- Fax
- (970) 484-5682
- NPI assigned
- Aug 10, 2006
- Last updated
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 22494 | CO | Primary |
Addresses
Primary practice location
2315 E Harmony Rd
Suite 110
Fort Collins, CO 80528-8620
Mailing address
2315 E Harmony Rd
Suite 110
Fort Collins, CO 80528-8620
Phone (970) 482-4373
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00970382 | Other | CO | RAILROAD MEDICARE |
| 01224948 | Medicaid | CO | |
| P00088065 | Other | CO | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22494 | CO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven L Kaufman MD PHD PC | Past | Accepting new patients | |
| Gerald C McIntosh MD | Neurology | 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.
-
- Neurology Physician
- Fort Collins, CO
- NPI 1629136254
-
- Surgery Physician
- Fort Collins, CO
- NPI 1225020431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1376554071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 E HARMONY RD",
"address_2": "SUITE 110",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288620",
"telephone_number": "970-482-4373",
"fax_number": "970-484-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E HARMONY RD",
"address_2": "SUITE 110",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288620",
"telephone_number": "970-482-4373",
"fax_number": "970-484-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "GERALD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "22494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00970382",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01224948",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00088065",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.