DR. DERIC MCINTOSH (NPI# 1942468129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942468129 |
| Entity Type | Individual |
| Full Name | DR. DERIC MCINTOSH |
| Credential | D.O. |
| Practice Address |
1625 Foxtrail Dr Ste 190 Loveland CO 80538 |
| Mailing Address |
1625 Foxtrail Dr Ste 190 Loveland CO 80538-9089 |
| Practice Telephone | 9706196900 |
| Practice Fax Number | 9706196990 |
| Mailing Telephone | 9706196900 |
| Mailing Fax Number | 9706196920 |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48280 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 40588271 | 05 | |
| CO | MEDICARE RAILROAD PTAN | P00991250 | 01 |
| Street Address |
1625 FOXTRAIL DR STE 190 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453837 | Jordan L Frishman | Internal Medicine | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9088 | 2005-08-09 |
| 1063890440 | George W. Holling Dds, Ms, PC | Dentist | 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538-9088 | 2015-05-18 |
| 1063765675 | Chad Riggs | Dentist | 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538-9089 | 2012-10-19 |
| 1407012826 | Heron Lake LLC | Clinic/Center | 1625 Foxtrail Dr, Ste 190, Loveland, CO 80538-9088 | 2008-08-05 |
| 1194841759 | Ann T Davies | Family Medicine | 1625 Foxtrail Dr, Ste 190, Loveland, CO 80538 | 2007-03-22 |
| 1225008196 | Robert Lewis Peskind | Internal Medicine | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9088 | 2006-01-24 |
| 1700856671 | Jacob Chua Liao Ong | Internal Medicine | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9088 | 2006-01-24 |
| 1376526533 | Amy N Patrick | Physician Assistant | 1625 Foxtrail Dr, Loveland, CO 80538-9088 | 2005-11-22 |
| 1881695062 | George William Holling | Dentist | 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538-9088 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053801647 | Rachel Jane Mommer | Family Medicine | 2004 W 15th St Ste 3, Loveland, CO 80538-3551 | 2018-05-18 |
| 1003262684 | A Ray of Hope Counseling and Health Services | Family Medicine | 8977 Columbia Rd Ste A, Loveland, OH 45140-1100 | 2016-05-12 |
| 1861768814 | Steven Huneycutt, Md | Family Medicine | 4204 N Garfield Ave, Loveland, CO 80538-2220 | 2012-03-23 |
| 1275857344 | Poudre Valley Medical Group, LLC | Family Medicine | 2975 Ginnala Dr Ste 120, Loveland, CO 80538-3300 | 2010-03-18 |
| 1619045473 | Mallory Osteopathic Family Practice | Family Medicine | 1548 N Boise Avenue, Loveland, CO 80538-4125 | 2006-12-01 |
| 1265525711 | Mitchell J Janasek | Family Medicine | 1230 14th St Sw, Loveland, CO 80537-6324 | 2006-10-02 |
| 1598861197 | Ingrid K Rule | Family Medicine | 1708 Boise Ave Unit 1, Loveland, CO 80538-4216 | 2006-09-15 |
| 1558472092 | James A Howton | Family Medicine | 3553 Clydesdale Pkwy, Suite 210, Loveland, CO 80538-8959 | 2006-08-31 |
| 1164446514 | Patrick Lawrence Mallory | Family Medicine | 1548 N. Boise Ave, Loveland, CO 80538-4215 | 2006-07-27 |
| 1609805589 | Holly Binnig | Family Medicine | 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 | 2006-07-02 |
| Find all providers in LOVELAND | ||||
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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.