Active NPI
Rita L McIntosh, PA-C
- Medical Physician Assistant
- Paducah, KY
National Provider Identifier
1609878768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA878
- Practice address
- 1532 Lone Oak Rd Ste 230
Kentucky Spine & Brain
Paducah, KY 42003 - Phone
- (270) 538-5800
- Fax
- (270) 538-5801
- NPI assigned
- Jun 2, 2005
- Last updated
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA878 | KY | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd Ste 230
Kentucky Spine & Brain
Paducah, KY 42003
Mailing address
1532 Lone Oak Rd Ste 230
Kentucky Spine & Brain
Paducah, KY 42003
Phone (270) 538-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000517568 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purchase Pain Managment LLC | Medical | Past | Accepting new patients |
| Mercy Health-Lourdes Hospital LLC | Past | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
dba Harness Health Pharmacy
- Community/Retail Pharmacy
- Paducah, KY
- NPI 1700214558
-
- Pain Medicine (Anesthesiology) Physician
- Paducah, KY
- NPI 1174563407
Medical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1609878768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 230",
"address_2": "KENTUCKY SPINE & BRAIN",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-538-5800",
"fax_number": "270-538-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 230",
"address_2": "KENTUCKY SPINE & BRAIN",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-538-5800",
"fax_number": "270-538-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "RITA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-02",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000517568",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.