Individual provider Active NPI

Catherine J. McIntyre, M.D.

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1568424083
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME78294 Issued in FL
Practice address
836 Prudential Dr
Suite 1202
Jacksonville, FL 32207-8339
Phone
(904) 399-4862
Fax
(904) 346-5410
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME78294 FL Primary

Addresses

Primary practice location

836 Prudential Dr
Suite 1202
Jacksonville, FL 32207-8339

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

12110 San Jose Blvd
Jacksonville, FL 32223-2637
Phone (904) 398-7654

Other identifiers 1

IdentifierTypeStateIssuer
373978300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050308000674 FL Practitioner - Obstetrics/Gynecology 3577517069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens' Health Hospitalists, LLCGroup PAC ID 1850674870, 20 clinicians

Practice addresses (Care Compare)

4030 W Boy Scout Blvd
Suite 800
Tampa, FL 33607-5713
Phone (813) 286-0033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78294FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology PastSince Feb 7, 2005 Accepting new patients

Locations

836 Prudential Dr
Ste 1202
Jacksonville, FL 32207
Phone (904) 208-2550

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

12110 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 208-2550

1733 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-1528

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

Interoperability endpoints

  • Direct secure messaging: cmcintyre136106@direct.nemours.org
  • Direct secure messaging: catherine.mcintyre@wcfnf.eclinicaldirectplus.com

Organizations & group practices 3

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 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1568424083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR",
            "address_2": "SUITE 1202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078339",
            "telephone_number": "904-399-4862",
            "fax_number": "904-346-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322232637",
            "country_code": "US",
            "telephone_number": "904-398-7654",
            "fax_number": "904-346-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "CATHERINE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME78294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373978300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.