Active NPI
Robert F. McIntyre, M.D.
- Psychiatry Physician
- Ponca City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2024025250
- Practice address
- 1900 N 14TH St
Ponca City, OK 74601-2035 - Phone
- (580) 765-3321
- NPI assigned
- Aug 9, 2006
- Last updated
- Jun 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 155459 | AK | MD | Psychiatry Physician |
| 04-29319 | KS | MD | Psychiatry Physician |
| 50786 | MT | MD | Psychiatry Physician |
| 24217 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Centerpointe Hospital of Columbia, LLC | Current | 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. | Past | Accepting new patients | |
| County of Sedgwick | Past | 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.
-
dba CenterPointe of Columbia
- Psychiatric Hospital
- Columbia, MO
- NPI 1760973044
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
dba Chinle Comprehensive Health Care Facility
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
dba Pinon Health Center
- General Acute Care Hospital
- Pinon, AZ
- NPI 1396761565
-
- Family Medicine Physician
- Ponca City, OK
- NPI 1225072796
-
dba COMCARE of Sedgwick County
- Community/Behavioral Health Agency
- Wichita, KS
- NPI 1982351706
-
- Mental Health Counselor
- El Dorado, KS
- NPI 1538155882
-
- Community/Behavioral Health Agency
- El Dorado, KS
- NPI 1891561858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.