Individual provider Active NPI

William Christopher McIntosh, MD

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1902429327
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT220390 Issued in PA
Practice address
250 S 21St St
Easton, PA 18042-3892
Phone
(610) 250-4515
NPI assigned
May 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT220390 PA Primary

Addresses

Primary practice location

250 S 21St St
Easton, PA 18042-3892

Mailing address

250 S 21St St
Easton, PA 18042-3892

Other practice location 1

220 W Chelten Ave
Philadelphia, PA 19144-3803
Phone (215) 310-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240301003057 PA Practitioner - Internal Medicine 1153766985 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT220390PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Osh - PA Physicians Group, PC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Multi-Cultural Health Evaluation Delivery Systems Inc CurrentSince Aug 14, 2025 Accepting new patients
Gslpg, Inc CurrentSince Feb 23, 2024 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Feb 23, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 23, 2024 Accepting new patients

Locations

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2021 E 20th St
Erie, PA 16510
Phone (814) 453-6229

2928 Peach St
Erie, PA 16508
Phone (814) 452-6229

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

220 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 310-7022

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1902429327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423892",
            "telephone_number": "610-250-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Chelten Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191443803",
            "country_code": "US",
            "telephone_number": "215-310-7022",
            "fax_number": "267-281-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "WILLIAM",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT220390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.