Michael Gene McIntosh, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

19408 Issued in KY

Practice address

1717 Dixie Hwy
Suite 200
Ft Wright, KY 41011

Phone

(839) 578-4143

Fax

(859) 344-3183

NPI assigned

Dec 4, 2006

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Psychiatry

Education

University of Toledo College of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Arnold G. Shapiro MD, PLLC

  • Psychiatry Physician
  • Ft Wright, KY
  • NPI 1881000545
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1609934777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY",
            "address_2": "SUITE 200",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "839-578-4143",
            "fax_number": "859-344-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY",
            "address_2": "SUITE 200",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "839-578-4143",
            "fax_number": "859-344-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MICHAEL",
        "middle_name": "GENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "19408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Loftus, M.D.
• Michelle S Loos, B.S
• Kathy Lynn Lukey, LISW-S, LCSW
• Jennifer Leigh Martin
• Phyllis McCarthy, CIHC
• Metzger Optometry Ky PLLC
• William Ferdinand Metzger, O.D.
• Dana C Miller, RPH
• Aleesha M Montoya, MD
• Stacey J Moore, ARNP

• Child & Adolescent Psychiatry Physician in Ft Wright, KY
• Providers in Ft Wright, KY by specialty
• Child & Adolescent Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.