JEFFREY BRIAN MCINTOSH (NPI# 1790754075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790754075 |
| Entity Type | Individual |
| Full Name | JEFFREY BRIAN MCINTOSH |
| Credential | MD |
| Practice Address |
4801 College Blvd Leawood KS 66211-1628 |
| Practice Telephone | 9134913999 |
| Practice Fax Number | 9137549309 |
| Mailing Telephone | 9134913999 |
| Mailing Fax Number | 9137549309 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0432910 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | CAQH | 10825575 | 01 |
| KS | 200543480A | 05 | |
| MO | 204610307 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013175884 | Jeffrey Eugene Mcintosh | Marriage & Family Therapist | 1120 Second Street, Suite 120, Brentwood, CA 94513-2230 | 2008-05-29 |
| Street Address |
4801 COLLEGE BLVD |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730181900 | David Paul Bankston | Anesthesiology | 4801 College Blvd, Leawood, KS 66211-1628 | 2005-06-01 |
| 1245780659 | Brianna Hoden | Nurse Practitioner | 4801 College Blvd, Leawood, KS 66211 | 2016-10-10 |
| 1841651346 | Laura L Tullis | Nurse Practitioner | 4801 College Blvd, Leawood, KS 66211-1628 | 2016-03-10 |
| 1619314176 | Heartland Physician Services, LLC | Family Medicine | 4801 College Blvd, Leawood, KS 66211-1628 | 2013-05-23 |
| 1871938902 | Premier Multispecialty Physicians, LLC | Family Medicine | 4801 College Blvd, Leawood, KS 66211-1628 | 2013-05-02 |
| 1245549278 | Tereasa Lynnette Pickert | Physician Assistant | 4801 College Blvd, Leawood, KS 66211-1628 | 2010-09-24 |
| 1265691851 | Bradley Joseph Young | Nurse Anesthetist, Certified Registered | 4801 College Blvd, Leawood, KS 66211-1628 | 2008-06-09 |
| 1891769246 | Medical Associated Physicians of Kansas LLC | Emergency Medicine | 4801 College Blvd, Leawood, KS 66211-1628 | 2006-02-14 |
| 1205830270 | Steven Dee Waldman | Anesthesiology | 4801 College Blvd, Leawood, KS 66211-1628 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669402137 | Christopher William Peer | Orthopaedic Surgery | 3651 College Blvd Ste 100a, Leawood, KS 66211-1910 | 2006-07-03 |
| 1508864208 | Cris D Barnthouse | Orthopaedic Surgery | 3651 College Blvd, #100a, Leawood, KS 66211-1904 | 2005-07-07 |
| 1710249107 | Craig Yager | Orthopaedic Surgery | 4940b W. 137th St., Leawood, KS 66224 | 2012-06-12 |
| 1659698561 | Nicholas T Ting | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2010-05-02 |
| 1215131701 | Kirk Anthony Mccullough | Orthopaedic Surgery | 3651 College Blvd, Suite 100a, Leawood, KS 66211-1910 | 2007-06-11 |
| 1609084540 | Dickson Diveley Midwest Orthopaedic Clinic LLC | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2007-05-21 |
| 1235263013 | Jacob S Stueve | Orthopaedic Surgery | 3651 College Blvd, Ste 100b, Leawood, KS 66211-1910 | 2007-03-15 |
| 1669421509 | Dickson Diveley Midwest Orthopaedic Clinic LLC | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2006-05-08 |
| 1780682658 | Andrew R Scott | Orthopaedic Surgery | 3651 College Blvd, #100a, Leawood, KS 66211-1904 | 2005-07-13 |
| 1164420733 | Jon E. Browne | Orthopaedic Surgery | 3651 College Blvd, Ste 100a, Leawood, KS 66211-1904 | 2005-07-08 |
| Find all providers in LEAWOOD | ||||
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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.