Individual provider Active NPI

Gail E. Macintyre, D.O.

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1508933839
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MI5101012124 Issued in MI
Practice address
37399 Garfield
Suite 203
Clinton Township, MI 48036-2958
Phone
(586) 228-2911
Fax
(586) 228-2901
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MI5101012124 MI Primary

Addresses

Primary practice location

37399 Garfield
Suite 203
Clinton Township, MI 48036-2958

Mailing address

37399 Garfield
Suite 203
Clinton Township, MI 48036-2958
Phone (586) 228-2911

Other identifiers 2

IdentifierTypeStateIssuer
5500128OtherMIBCBS
4446476MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051215000540 MI Practitioner - Family Practice 5496776783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

13425 19 Mile Rd
Suite 100
Sterling Heights, MI 48313-1991
Phone (586) 843-3935

37399 Garfield Rd
Clinton Township, MI 48036-3672

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
MI5101012124MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

21510 Harrington St
Ste 202
Clinton Twp, MI 48036
Phone (586) 791-5250

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

8180 26 Mile Rd
Shelby Township, MI 48316
Phone (810) 286-4880

37771 Schoenherr Rd
Sterling Hts, MI 48312
Phone (586) 274-2400

13425 19 Mile Rd
Ste 100
Sterling Hts, MI 48313
Phone (586) 843-3935

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1508933839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD",
            "address_2": "SUITE 203",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362958",
            "telephone_number": "586-228-2911",
            "fax_number": "586-228-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD",
            "address_2": "SUITE 203",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362958",
            "telephone_number": "586-228-2911",
            "fax_number": "586-228-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINTYRE",
        "first_name": "GAIL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MI5101012124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5500128",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4446476",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.