Active NPI
Thomas George McIntosh, MD
- Family Medicine Physician
- Grapevine, TX
National Provider Identifier
1942226535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D9033
- Practice address
- 1231 Mockingbird Dr
Grapevine, TX 76051-2812 - Phone
- (817) 251-6362
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42087 | CO | |
| Family Medicine Physician | 207Q00000X | 31833 | KY | |
| Family Medicine Physician | 207Q00000X | D9033 | TX | Primary |
Addresses
Primary practice location
1231 Mockingbird Dr
Grapevine, TX 76051-2812
Mailing address
1231 Mockingbird Dr
Grapevine, TX 76051-2812
Phone (817) 251-6362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82587361 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42087 | CO | MD | Family Medicine Physician |
| 31833 | KY | MD | Family Medicine Physician |
| D9033 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redimed Dekalb LLC | Past | Accepting new patients | |
| Earnest Associates Inc | Family Medicine | Past | Accepting new patients |
| St. Joseph Health System, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1275565343
-
- General Practice Physician
- Auburn, IN
- NPI 1669417457
-
- Medicare Defined Swing Bed Hospital Unit
- Fort Wayne, IN
- NPI 1538812946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1942226535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 MOCKINGBIRD DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760512812",
"telephone_number": "817-251-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 MOCKINGBIRD DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760512812",
"telephone_number": "817-251-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "THOMAS",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "42087",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "31833",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D9033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82587361",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.