Dr Tamara McIntosh LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20130 Issued in AL

Legal business name

DR TAMARA MCINTOSH LLC

Practice address

1410 Al Highway 144
Ohatchee, AL 36271-7887

Phone

(256) 892-2121

Fax

(256) 892-3733

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Tamara McIntosh, M DNPI 1538269816

Title

Owner Physician

Phone

(256) 892-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Ann McIntosh, M.D.

  • Family Medicine Physician
  • Ohatchee, AL
  • NPI 1538269816
  Medicare reassignment Care Compare group NPD Authorized official
• Cheyenne Lenard, NP

  • Family Nurse Practitioner
  • Ohatchee, AL
  • NPI 1578352258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1467549147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 AL HWY 144",
            "city": "OHATCHEE",
            "state": "AL",
            "postal_code": "362717887",
            "telephone_number": "256-892-2121",
            "fax_number": "256-892-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 AL HIGHWAY 144",
            "city": "OHATCHEE",
            "state": "AL",
            "postal_code": "362717887",
            "telephone_number": "256-892-2121",
            "fax_number": "256-892-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TAMARA MCINTOSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "256-892-2121",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51538228",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Andrew Divalentin IV, R.D., L.D.
• Amanda Freeman
• Kori Elisabeth Hudgins, MS
• Tabitha S Hughes
• Cheyenne Lenard, NP
• Jordan Lowe

• Family Medicine Physician in Ohatchee, AL
• Providers in Ohatchee, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.