DR. LISA M MCINTOSH (NPI# 1407941578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407941578 |
| Entity Type | Individual |
| Full Name | DR. LISA M MCINTOSH |
| Other Name | DR. LISA M ADE |
| Credential | MD |
| Practice Address |
2292 Dalton Dr Ste C Clarksville TN 37043-8961 |
| Mailing Address |
2292 Dalton Dr Ste C Clarksville TN 37043-8961 |
| Practice Telephone | 9316455595 |
| Practice Fax Number | 9316455596 |
| Mailing Telephone | 9316455595 |
| Mailing Fax Number | 9316455596 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD 029433 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1952792111 | 01 | |
| TN | NPI GROUP | 1477866820 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2503 Highway 41a Byp, Clarksville, TN 370433902 | 9316455595 | 9316455596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1205827573 | Lisa J Mcintosh | Obstetrics & Gynecology | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2005-11-04 |
| 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 |
2292 DALTON DR STE C |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044196 | Sabyl Elena Farmer | Advanced Practice Midwife | 2292 Dalton Dr Ste C, Clarksville, TN 37043-8961 | 2020-02-06 |
| 1609423953 | Allie M Silcox | Nurse Practitioner | 2292 Dalton Dr Ste C, Clarksville, TN 37043-8961 | 2019-08-21 |
| 1437511870 | Hilliary Maria Wynn | Nurse Practitioner | 2292 Dalton Dr Ste C, Clarksville, TN 37043-8961 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477866820 | New South Medical Enterprises | Obstetrics & Gynecology | 2503 Highway 41a Byp, Clarksville, TN 37043-3902 | 2010-07-14 |
| 1700956596 | Clarksville Ob Gyn Associates | Obstetrics & Gynecology | 1824 Memorial Drive, Clarksville, TN 37043 | 2006-11-08 |
| 1972562064 | Buford Brown Ledbetter Jr. | Obstetrics & Gynecology | 1731 Memorial Drive, Suite 203, Clarksville, TN 37043 | 2006-03-20 |
| 1356531461 | B. B. Ledbetter, M. D., Plc | Obstetrics & Gynecology | 1731 Memorial Dr, Suite 203, Clarksville, TN 37043-4523 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056036 | Modern Gynecology and Reproductive Health PC | Obstetrics & Gynecology | 1407 Union Ave Ste 1401, Memphis, TN 38104-3667 | 2019-07-27 |
| 1598206336 | Stephen Merrick Mintz | Obstetrics & Gynecology | 3124 Natoma Cir, Thompsons Station, TN 37179-9605 | 2017-03-13 |
| 1487190914 | Hormones 4 Life LLC | Obstetrics & Gynecology | 3172 Waterfront Dr, Chattanooga, TN 37419-1541 | 2017-01-08 |
| 1972928604 | Eugene Rudd | Obstetrics & Gynecology | 125 Ashewood Dr, Bristol, TN 37620-5939 | 2014-03-05 |
| 1164793105 | James Thurman | Obstetrics & Gynecology | 5160 Mouse Creek Rd Nw, Cleveland, TN 37312-3228 | 2012-01-23 |
| 1881964815 | David Anthony Rueff | Obstetrics & Gynecology | 7621 Carpenter Rd, Knoxville, TN 37931-1122 | 2012-01-06 |
| 1164724878 | Norman Arnold Mckinnon Jr. | Obstetrics & Gynecology | 911 Scarlett Oaks Rd, Maryville, TN 37801-7403 | 2010-12-01 |
| 1609195965 | Fields Center for Womans Health & Robotic Surgery Pllc | Obstetrics & Gynecology | 10810 Parkside Dr Ste 306, Knoxville, TN 37934 | 2010-05-26 |
| 1396987491 | Kalyani Medicherla Kumar | Obstetrics & Gynecology | 411 Sewell Dr, Sparta, TN 38583-1223 | 2009-04-03 |
| 1962686311 | Harry L Stuber Md PC | Obstetrics & Gynecology | 503 N Cedar Ave, Cookeville, TN 38501-1707 | 2007-12-20 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on DR. LISA M MCINTOSH.
| 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.