Northside Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0428352 Issued in KS

Legal business name

NORTHSIDE CLINIC

Practice address

2211 N 13TH St
Kansas City, KS 66104-5649

Phone

(913) 233-1911

Fax

(913) 321-5185

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marvin McIntosh, M.D.NPI 1417054362

Title

Medical Director

Phone

(913) 233-1911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin Lynell McIntosh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, KS
  • NPI 1417054362

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538286091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 N 13TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661045649",
            "telephone_number": "913-233-1911",
            "fax_number": "913-321-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 N 13TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661045649",
            "telephone_number": "913-233-1911",
            "fax_number": "913-321-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-233-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0428352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Alan Norman, MD
• Rebecca K Norris, FNP-C
• Chet Brian North
• Northland Hearing Centers, Inc. (Northland Hearing Centers, Inc. dba Starkey HearCare)
• Northland Imaging, LLC (Leavenworth-Kansas City Imaging)
• Spencer Norton, DO
• Tara Paige Notarianni, DO
• Savannah Nott
• Heather Nourse
• Novak Chiropractic Clinic, P.a.

• Family Medicine Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.