Organization Active NPI

McIntire Ear Nose & Throat Center

  • Otolaryngology/Facial Plastic Surgery Physician
  • Joplin, MO
National Provider Identifier
1902098049
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
R5N23 Issued in MO
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

Updated by the provider on Aug 13, 2007

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)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.