Active NPI
K. Robert McIntire, M.D.
- Medical Oncology Physician
- Mashpee, MA
National Provider Identifier
1417078569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 50646
- Practice address
- Cape Cod Free Clinic
19 Steeple Street
Mashpee, MA 02649 - Phone
- (508) 477-7090
- NPI assigned
- Apr 3, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 50646 | MA | Primary |
Addresses
Primary practice location
Cape Cod Free Clinic
19 Steeple Street
Mashpee, MA 02649
Mailing address
150 Mill Rd
Falmouth, MA 02540-2624
Phone (508) 477-7090
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50646 | MA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417078569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MILL RD",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402624",
"telephone_number": "508-477-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAPE COD FREE CLINIC",
"address_2": "19 STEEPLE STREET",
"city": "MASHPEE",
"state": "MA",
"postal_code": "02649",
"telephone_number": "508-477-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTIRE",
"first_name": "K. ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "50646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mashpee, MA
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.