DR. ADEKA D MCINTOSH


Address: 816 W Cannon St, 9th Floor, Fort Worth, TX 76104-3146
Phone: 8173210387

DR. ADEKA D MCINTOSH (NPI# 1376696658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376696658
Entity Type Individual
Full Name DR. ADEKA D MCINTOSH
Credential M.D.
Practice Address 816 W Cannon St
9th Floor
Fort Worth
TX 76104-3146
Practice Telephone 8173210387
Mailing Telephone 8173210387
Enumeration Date 2007-01-19
Last Update Date 2014-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085P0229X Radiology
Specialization: Pediatric Radiology
Q0507 TX Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
MD438111 PA Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Q0507 TX Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Q0507 TX Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD438111 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 285250104 05
TX 121715008 05
TX 121715004 05

Office Location

Street Address 816 W CANNON ST
9TH FLOOR
City FORT WORTH
State TX
Zip Code 76104-3146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710970975 Radiology Associates of North Texas, Pa Radiology 816 W Cannon St, Credentialing 1710970975, Fort Worth, TX 76104-3146 2005-08-23
1124664982 Brilyn Akerley Physician Assistant 816 W Cannon St, Fort Worth, TX 76104-3146 2019-11-26
1730539339 Shanna Micheal Sherwood Physician Assistant 816 W Cannon St, Fort Worth, TX 76104-3146 2016-06-15
1518386325 Jeremy Thomas Hall Radiology 816 W Cannon St, Fort Worth, TX 76104-3146 2014-04-09
1164849154 Mohammad Toliyat Radiology 816 W Cannon St, Fort Worth, TX 76104-3146 2014-03-27
1407146384 Radiology Associates of North Texas, Pa Radiology 816 W Cannon St, Credentialing 1407146384, Fort Worth, TX 76104-3146 2011-04-13
1861782740 Radiology Associates of North Texas, Pa Radiology 816 W Cannon St, Credentialing 1861782740, Fort Worth, TX 76104-3146 2011-04-13
1629397245 Daniel R. Eickenhorst Radiology 816 W Cannon St, Fort Worth, TX 76104-3146 2010-05-21
1508020736 Steven Matthew Sharatz Internal Medicine 816 W Cannon St, Apt. 3, Fort Worth, TX 76104-3146 2008-07-16
1568620789 Jonathan Martin Williams Radiology 816 W Cannon St, Fort Worth, TX 76104-3146 2008-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619389392 Thomas Fikar Radiology 8216 Deerwood Forest Dr, Fort Worth, TX 76126-5181 2014-05-29
1487939328 Fort Worth Radiology, Pllc Radiology 2603 8th Ave Ste D, Suite D, Fort Worth, TX 76110-3000 2011-10-11
1730331380 Steven L. Hsu Radiology 5750 Stratum Dr, Fort Worth, TX 76137-2757 2008-10-15
1841468360 Walworth Edward Burge Radiology 815 Pennsylvainia Ave, Fort Worth, TX 76104-2224 2008-02-19
1306034699 Pin Point Radiology Management Seaford Pa Radiology 1412 W Magnolia Ave, Suite 100, Fort Worth, TX 76104-4378 2007-10-11
1689897977 Stephen Melvyn Lobo Radiology 815 Pennsylvania Avenue, Fort Worth, TX 76104-2224 2007-04-11
1235269119 Texas Health Care, P.l.l.c. Radiology 3800 Hulen, Suite 100, Fort Worth, TX 76107-7270 2007-03-07
1245360171 Texas Health Care, P.l.l.c. Radiology 800 W Magnolia Ave Ste 100, Fort Worth, TX 76104-4611 2007-03-07
1932254679 Envision Imaging of North Fort Worth Radiology 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2007-01-24
1033160015 Monticello Diagnostic Imaging Lp Radiology 3712 W 7th Street, Suite A, Fort Worth, TX 76107 2006-05-13
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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