LARRY DOUGLAS MCINTIRE (NPI# 1164402046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164402046 |
| Entity Type | Individual |
| Full Name | LARRY DOUGLAS MCINTIRE |
| Credential | DO |
| Practice Address |
1331 W 32nd St Joplin MO 64804 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173476767 |
| Practice Fax Number | 4173473170 |
| Mailing Telephone | 4173476767 |
| Mailing Fax Number | 4173473170 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
22386 | OK | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
0526146 | KS | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
33563 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 9054 | 01 |
| MO | 241195528 | 05 |
| Street Address |
1331 W 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331324 | Kent Douglas Mcintire | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804 | 2006-01-18 |
| 1003438003 | Matthew Girgis | Student in an Organized Health Care Education/Training Program | 1331 W 32nd St, Joplin, MO 64804-1601 | 2020-05-12 |
| 1700228483 | Hallie J Baker | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804 | 2013-07-23 |
| 1902098049 | Mcintire Ear Nose & Throat Center | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804-1601 | 2007-08-13 |
| 1154520757 | Nathan Seth Box | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804-1601 | 2007-07-13 |
| 1295933984 | Scott Michael Mcclintick | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804-1601 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331324 | Kent Douglas Mcintire | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804 | 2006-01-18 |
| 1457351033 | Frank W Shagets | Otolaryngology | 620 W 32nd St, Suite B, Joplin, MO 64804-2549 | 2005-07-26 |
| 1730539974 | Talon Maningas D.o. LLC | Otolaryngology | 620 W 32nd St Ste B, Joplin, MO 64804-2528 | 2016-06-19 |
| 1003076837 | Frank W. Shagets, Jr., M.d., P.C. | Otolaryngology | 620 W 32nd St, Suite B, Joplin, MO 64804-2549 | 2008-06-16 |
| 1902098049 | Mcintire Ear Nose & Throat Center | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804-1601 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407047178 | Edment, LLC | Otolaryngology | 5780 Highway 54, Suite 113, Osage Beach, MO 65065-3043 | 2007-08-07 |
| 1194876805 | Edgar N Kemp IIi | Otolaryngology | 1605 South Baltimore, Suite B, Kirksville, MO 63501 | 2007-01-16 |
| 1336209675 | Richard Hyrum Woodland | Otolaryngology | 1602 N 2nd, Clinton, MO 64735-1192 | 2006-12-09 |
| 1629161864 | Kelly Douglas Burchett | Otolaryngology | 1605 South Baltomore, Suite B, Kirksville, MO 63501 | 2006-10-02 |
| 1023120110 | James Mead Gaunt | Otolaryngology | 1710 S Lafayette Ave, Sedalia, MO 65301-7542 | 2006-08-31 |
| 1407490105 | Ear Nose Throat Medical Service | Otolaryngology | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2019-11-05 |
| 1609244193 | Heather A Curtis | Otolaryngology | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2015-09-14 |
| 1730469693 | Martin Ear Nose & Throat Clinic | Otolaryngology | 37 Doctors Park, Suite 1, Cape Girardeau, MO 63703-4956 | 2011-08-24 |
| 1558661116 | Willis H Hoyt IIi | Otolaryngology | 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 | 2010-10-29 |
| 1285956797 | Matthew Campbell Ericksen | Otolaryngology | 1155 W Parkview St, Suite 2j, Bolivar, MO 65613-8279 | 2010-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.