Individual provider Active NPI

Robert F. McIntyre, M.D.

  • Psychiatry Physician
  • Ponca City, OK
National Provider Identifier
1871503110
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2024025250 Issued in MO
Practice address
1900 N 14TH St
Ponca City, OK 74601-2035
Phone
(580) 765-3321
NPI assigned
Aug 9, 2006
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-29319 KS
Psychiatry Physician 2084P0800X 155459 AK
Psychiatry Physician 2084P0800X 24217 OK
Psychiatry Physician 2084P0800X 50786 MT
Psychiatry Physician 2084P0800X 2024025250 MO Primary

Addresses

Primary practice location

1900 N 14TH St
Ponca City, OK 74601-2035

Mailing address

PO Box 504361
Saint Louis, MO 63150-0001

Other practice location 1

980 Parkside Village Ln
Osage Beach, MO 65065-3098
Phone (844) 853-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090427000537 TX Practitioner - Psychiatry 5698760494 Reassigns benefits to 1 organization
I20240708004153 MO Practitioner - Psychiatry 5698760494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpointe Hospital of Columbia LLCGroup PAC ID 0446502652, 20 clinicians
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1201 International Dr
Columbia, MO 65202-1612
Phone (855) 623-7016

4500 Stellar Dr
Apt 104
Columbia, MO 65201-6155
Phone (573) 968-2268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155459AKMDPsychiatry Physician
04-29319KSMDPsychiatry Physician
50786MTMDPsychiatry Physician
24217OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jun 26, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Mar 16, 2009 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Compass Health, Inc CurrentSince Jun 26, 2024 Accepting new patients
Centerpointe Hospital of Columbia, LLC CurrentSince Sep 22, 2024 Accepting new patients
Kay County Clinic Company LLC Family Medicine Past Accepting new patients
South Central Mental Health Counseling Center, Inc. Past Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1201 International Dr
Columbia, MO 65202
Phone (573) 615-2001

980 Parkside Village Ln
Osage Beach, MO 65065
Phone (573) 302-1114

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1871503110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504361",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Parkside Village Ln",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650653098",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-29319",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "155459",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24217",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "50786",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2024025250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.