McIntyre Family Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MCINTYRE FAMILY MEDICINE LLC

Practice address

345A W Ogden Ave
Westmont, IL 60559-1419

Phone

(630) 205-2129

Fax

(630) 541-9134

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Irene Krieter

Title

Credentialing Director

Phone

(847) 347-2862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20111/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Maris Faye McIntyre, D.O.

  • Family Medicine Physician
  • Westmont, IL
  • NPI 1063652204
  Medicare reassignment NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1891348272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345A W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591419",
            "telephone_number": "630-205-2129",
            "fax_number": "630-541-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345A W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591419",
            "telephone_number": "630-205-2129",
            "fax_number": "630-541-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTYRE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "KRIETER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "847-347-2862"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawel Mazur, MPT
• Julie Marie McDevitt, LCPC
• Roger Scott McDowell, D.C.
• Marin Rose McElroy, PT, DPT
• Kaitlyn McGowan, MOT, OTR/L
• Maris Faye McIntyre, D.O.
• McKay Chiropractic & Sports Therapy
• Ross Lee McKay, D.C.
• Kalee McKenna, PA-C
• Holly McMurray, PT, DPT

• Internal Medicine Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.