Organization Active NPI

Gerald C McIntosh MD

  • Neurology Physician
  • Fort Collins, CO
National Provider Identifier
1629136254
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GERALD C MCINTOSH MD
Practice address
1221 E Elizabeth St
Suite 3
Fort Collins, CO 80524-4065
Phone
(970) 482-4373
Fax
(970) 484-5682
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Gerald Clinton McIntosh, MDNPI 1376554071
Title
Owner
Phone
(970) 482-4373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1221 E Elizabeth St
Suite 3
Fort Collins, CO 80524-4065

Mailing address

1221 E Elizabeth St
Suite 3
Fort Collins, CO 80524-4065
Phone (970) 482-4373

Other identifiers 2

IdentifierTypeStateIssuer
09082735MedicaidCO
DA6242OtherCORAILROAD MEDICARE

Other names 1

  • Neurology Associates of Northern Colorado Other name

National Provider Directory

National Provider Directory

Locations

1100 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 498-8346

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1629136254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E ELIZABETH ST",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244065",
            "telephone_number": "970-482-4373",
            "fax_number": "970-484-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E ELIZABETH ST",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244065",
            "telephone_number": "970-482-4373",
            "fax_number": "970-484-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD C MCINTOSH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-482-4373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09082735",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA6242",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Associates of Northern Colorado",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.