Individual provider Active NPI

Laura J McIntosh, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1427033208
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD417156 Issued in PA
Practice address
311 W 24TH St Ste 305
Erie, PA 16502-2666
Phone
(814) 454-4484
NPI assigned
Dec 14, 2005
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD417156 PA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X MD417156 PA

Addresses

Primary practice location

311 W 24TH St Ste 305
Erie, PA 16502-2666

Mailing address

311 W 24TH St Ste 305
Erie, PA 16502-2666
Phone (814) 454-4484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmcintosh148872@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000494 PA Practitioner - Sports MedicinePractitioner - Family Practice 0042119646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Pittsburgh School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

311 W 24TH St
305 SV Family Medicine
Erie, PA 16502-2666
Phone (814) 454-4484

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417156PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Aug 1, 2003 Accepting new patients
Saint Vincent Medical Education and Research Institute Inc PastSince Aug 1, 2003 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients
Hertel and Brown Physical Therapy, P.C. Past Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

311 W 24th St
Ste 305
Erie, PA 16502
Phone (814) 454-4484

4671 W Lake Rd
Erie, PA 16505
Phone (814) 835-2035

Interoperability endpoints

  • Direct secure messaging: lmcintosh148872@direct.ahn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1427033208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 305",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022666",
            "telephone_number": "814-454-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 305",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022666",
            "telephone_number": "814-454-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD417156",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD417156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmcintosh148872@direct.ahn.org",
            "affiliation": "N",
            "address_1": "311 W 24th St Ste 305",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.