Individual provider Active NPI

Clive McIntosh

  • Critical Care Certified Respiratory Therapist
  • St Petersburg, FL
National Provider Identifier
1396007688
Registry record updated Jun 12, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X
License
TT10100 Issued in FL
Practice address
2821 6TH Ave N
St Petersburg, FL 33713-6707
Phone
(954) 696-9522
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory Therapist 2278C0205X TT10100 FL Primary

Addresses

Primary practice location

2821 6TH Ave N
St Petersburg, FL 33713-6707

Mailing address

2821 6TH Ave N
St Petersburg, FL 33713-6707
Phone (954) 696-9522

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
TT10100FLMDCritical Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1396007688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 6TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136707",
            "telephone_number": "954-696-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 6TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136707",
            "telephone_number": "954-696-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "CLIVE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "FL",
            "license": "TT10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.