Michele C McIntosh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R7035 Issued in MO

Practice address

205 W R D Mize Rd
Suite 304
Blue Springs, MO 64014-2518

Phone

(816) 655-0125

Fax

(816) 228-1156

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Children'S Mercy-Cockerell and McIntosh Pediatrics, Inc

  • Pediatrics Physician
  • Blue Springs, MO
  • NPI 1811528656

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1730187402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W R D MIZE RD",
            "address_2": "SUITE 304",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142518",
            "telephone_number": "816-655-0125",
            "fax_number": "816-228-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W R D MIZE RD",
            "address_2": "SUITE 304",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142518",
            "telephone_number": "816-655-0125",
            "fax_number": "816-228-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MICHELE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R7035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1205144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "204100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "204101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200044006",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4001736",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "05427045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "312290",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikita McDaniel, DDS
• Amy L McDonald, MS, CCC-SLP
• Steven Wayne McFee, M.D.
• Brenda Marie McGowin, PH.D.
• Michael Dennis McGuire, LMSW
• Shannon S McIntosh, CPNP
• Kimberly Nicole McNerney, CPNP-PC
• Michelle McOsker, EDD, CCC-SLP
• Janelle Sue McQuerry, PTA
• Cindy M McVey, APRN

• All providers in Blue Springs, MO
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.