DR. LISA J MCINTOSH (NPI# 1205827573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205827573 |
| Entity Type | Individual |
| Full Name | DR. LISA J MCINTOSH |
| Credential | MD |
| Practice Address |
5716 Michigan Ave Detroit MI 48210-3039 |
| Mailing Address |
559 W Grand Blvd Detroit MI 48216-2200 |
| Practice Telephone | 2484570085 |
| Practice Fax Number | 2484570086 |
| Mailing Telephone | 3132280214 |
| Mailing Fax Number | 3132280283 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301052024 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3223799 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407941578 | Lisa M Mcintosh | Specialist | 2292 Dalton Dr Ste C, Clarksville, TN 37043-8961 | 2006-10-04 |
| 1710070495 | Lisa Denise Mcintosh | Nurse Practitioner | 1674 State Route 176, Greenville, KY 42345-4122 | 2006-10-02 |
| 1710953328 | Lisa B Mcintosh | Physical Therapist | 128 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-02-23 |
| 1639700347 | Lisa Mcintosh | Behavior Technician | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2020-01-31 |
| 1063064038 | Lisa Mcintosh | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2019-07-10 |
| 1124331715 | Lisa Nell Mcintosh | Registered Nurse | 735 North Dr, Hopkinsville, KY 42240-2620 | 2010-07-23 |
| 1275660714 | Lisa Mcintosh | Occupational Therapy Assistant | 2000 E Edgewood Dr, Suite 114, Lakeland, FL 33803-3653 | 2007-02-28 |
| Street Address |
5716 MICHIGAN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326625 | Gabriella Jamie Sanford | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-30 |
| 1972143782 | Joanna Veronica Dimas | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-09 |
| 1720621279 | Rachel Campbell | Nurse Practitioner | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-10-28 |
| 1326699752 | Carmensita J Buentello | Counselor | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-26 |
| 1316598329 | Disheka Denise Beverly-daniels | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-23 |
| 1912552449 | Katharine Nicole Marquez | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-08-01 |
| 1174183057 | Katherine Byl | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-06-13 |
| 1760955124 | Hawa A Haji-hassan | Student in an Organized Health Care Education/Training Program | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-09 |
| 1962975631 | Emma Jean Urbain | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-06 |
| 1306319041 | Rebecca Sarahi Montes | Counselor | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| 1083804173 | Detroit Medical Centre | General Acute Care Hospital | 4201 St. Antoine, Detroit, MI 48210 | 2007-07-26 |
| 1205030277 | Renaissance Dental PC | Dentist | 7330 W Warren Ave, Detroit, MI 48210-1041 | 2007-06-13 |
| Find all providers in zip 48210 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009955 | Maurice-andre Recanati | Obstetrics & Gynecology | 4201 Saint Antoine St Ste 4c, Detroit, MI 48201-2153 | 2011-01-06 |
| 1194041830 | Eberechukwu Jill Azumah | Obstetrics & Gynecology | 5960 Bedford St, Detroit, MI 48224-2651 | 2010-04-19 |
| 1134383508 | Haider S Mahdi | Obstetrics & Gynecology | 3990 John R, 7 Brush North, Wayne State University/ Detroit Medical Center,obgyn, Detroit, MI 48201 | 2008-07-15 |
| 1609040484 | Yhfmc PC | Obstetrics & Gynecology | 15266 Grand River Ave, Detroit, MI 48227-2213 | 2008-04-14 |
| 1619191954 | F Seabrooks | Obstetrics & Gynecology | 19305 W 7 Mile Rd, Detroit, MI 48219-2718 | 2007-04-11 |
| 1326168188 | Mary Ibe | Obstetrics & Gynecology | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1144365545 | George W Gibson | Obstetrics & Gynecology | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2007-02-21 |
| 1780764712 | Romeo H Tabbilos | Obstetrics & Gynecology | 3011 West Grand Boulevard, Suite 428, Detroit, MI 48202 | 2006-10-16 |
| 1497862189 | Terry A Wynn | Obstetrics & Gynecology | 14103 Fenkell St, Detroit, MI 48227-3214 | 2006-08-25 |
| 1104856897 | Ann R Gillett-elrington | Obstetrics & Gynecology | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2006-07-05 |
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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.