Active NPI
Gerald C McIntosh MD
- Neurology Physician
- Fort Collins, CO
National Provider Identifier
1629136254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald Clinton McIntosh, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09082735 | Medicaid | CO | |
| DA6242 | Other | CO | RAILROAD MEDICARE |
Other names 1
- Neurology Associates of Northern Colorado
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Fort Collins, CO
- NPI 1376554071
-
- Specialist
- Fort Collins, CO
- NPI 1982659017
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.