DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1730187402

NPI Code Detail

MEDICARE: MICHELE C MCINTOSH MD

MEDICARE: MICHELE C MCINTOSH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	R7035	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1205144	OTHER		UNITED HEALTH CARE
2	204100	OTHER		FAMILY HEALTH PARTNERS
3	204101	OTHER		FAMILY HEALTH PARTNERS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4001736	OTHER		AETNA
6	05427045	OTHER		BLUE CROSS/BLUE SHIELD
7	312290	OTHER		FIRST GUARD

General Provider Information

NPI Number	:	1730187402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE C MCINTOSH MD

Provider Business Mailing Address
First Line	:	205 W R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2518
Country	:	US
Telephone Number	:	816-655-0125
Fax Number	:	816-228-1156

Provider Business Practice Location Address
First Line	:	205 W R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2518
Country	:	US
Telephone Number	:	816-655-0125
Fax Number	:	816-228-1156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	01/31/2011

Similar Medicare Providers

1740287549 — CHARLES FREDERICK COCKERELL MD
Practice Location Address:

205 W R D MIZE RD , SUITE 304
BLUE SPRINGS, MO
64014-2518

Practice Phone: 816-228-4770
Practice Fax: 816-228-1156

1588662282 — STACEY LEIGH SHARPE MD
Practice Location Address:

205 W R D MIZE RD , SUITE 304
BLUE SPRINGS, MO
64014-2518

Practice Phone: 816-655-0125
Practice Fax: 816-228-1156

1093713703 — CINDY L KIRBY-DIAZ MD
Practice Location Address:

205 W R D MIZE RD , SUITE 304
BLUE SPRINGS, MO
64014-2518

Practice Phone: 816-228-4770
Practice Fax: 816-228-1156

1942208624 — MARK ALAN MOZER MD
Practice Location Address:

205 W R D MIZE RD , SUITE 304
BLUE SPRINGS, MO
64014-2518

Practice Phone: 816-228-4770
Practice Fax: 816-228-1156

1982602678 — JOSEPH ROY VANBIBER DO
Practice Location Address:

205 W R D MIZE RD , SUITE 304
BLUE SPRINGS, MO
64014-2518

Practice Phone: 816-228-4770
Practice Fax: 816-228-1156

1326046806 — SHANNON S MCINTOSH CPNP
Practice Location Address:

205 W R D MIZE RD , SUITE 304
BLUE SPRINGS, MO
64014-2518

Practice Phone: 816-655-0125
Practice Fax: 816-228-1156

Directions to “ MICHELE C MCINTOSH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.