Active NPI
McIntire Ear Nose & Throat Center
- Otolaryngology/Facial Plastic Surgery Physician
- Joplin, MO
National Provider Identifier
1902098049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- R5N23
- Legal business name
- MCINTIRE EAR NOSE & THROAT CENTER
- Practice address
- 1331 W 32ND St
Joplin, MO 64804-1601 - Phone
- (417) 623-6767
- Fax
- (417) 623-3170
- NPI assigned
- Aug 13, 2007
- 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
- Ms. Donna L McIntire
- Title
- Manager
- Phone
- (417) 623-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | R5N23 | MO | Primary |
Addresses
Primary practice location
1331 W 32ND St
Joplin, MO 64804-1601
Mailing address
1331 W 32ND St
Joplin, MO 64804-1601
Phone (417) 623-6767
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186963200000",
"number": "1902098049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041601",
"telephone_number": "417-623-6767",
"fax_number": "417-623-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041601",
"telephone_number": "417-623-6767",
"fax_number": "417-623-3170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCINTIRE EAR NOSE & THROAT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A",
"authorized_official_last_name": "MCINTIRE",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "417-623-6767",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MO",
"license": "R5N23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.