DR. CHARLES B. MCINTOSH


Address: 3160 Edgewood Ave W, Jacksonville, FL 32209-2245
Phone: 9047655804

DR. CHARLES B. MCINTOSH (NPI# 1336252444) 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) 1336252444
Entity Type Individual
Full Name DR. CHARLES B. MCINTOSH
Credential M.D.
Practice Address 3160 Edgewood Ave W
Jacksonville
FL 32209-2245
Practice Telephone 9047655804
Practice Fax Number 9047650958
Mailing Telephone 9047655804
Mailing Fax Number 9047650958
Enumeration Date 2006-08-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
0006612 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL HEALTHEASE 13123 01
FL BLUE CROSS /BLUE SHIELD 16450 01
FL AETNA 4047696 01
FL CIGNA 0932138002 01
FL HUMANA 1055089 01
FL TRICARE 16450 01

Other Providers CHARLES MCINTOSH

NPI Name Taxonomy Address Enumeration
1215080049 Charles Mcintosh Emergency Medicine 405 W. Grand Avenue, Dayton, OH 45405-4796 2007-01-18
1912090606 Charles Mcintosh Nurse Anesthetist, Certified Registered 1000 Harrington Blvd, Mount Clemens, MI 48043 2006-10-02
1912014325 Charles A Mcintosh IIi Anesthesiology 2408 Broadmoor Blvd, Monroe, LA 71201-2963 2006-08-23

Office Location

Street Address 3160 EDGEWOOD AVE W
City JACKSONVILLE
State FL
Zip Code 32209-2245

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972968402 Agape Community Health Center, Inc. Clinic/Center 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2015-12-29
1013356641 Reginald L. Sykes, Sr, M.d., P.a. Family Medicine 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2013-06-17
1801117155 Celia Kay Judd Massage Therapist 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2010-06-21
1205079662 Northwest Jacksonville Pediatrics, P.a. Pediatrics 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2009-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710506183 Hayley M Shade Student in an Organized Health Care Education/Training Program 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 2020-04-15
1407484629 Micah Christine Turpeau Student in an Organized Health Care Education/Training Program 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 2020-04-01
1730716366 Nikki Javia Student in an Organized Health Care Education/Training Program 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 2020-03-24
1336776061 Samuel Kamoroff Student in an Organized Health Care Education/Training Program 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 2020-03-24
1376194092 Donald Wayne Johnson Jr. Pharmacist Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 2019-09-24
1871141838 Anton Daran Armstrong Counselor 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 2019-09-03
1295296499 Christian King Student in an Organized Health Care Education/Training Program 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 2019-03-29
1013478403 David William Barton Orthopaedic Surgery 655 W 8th St, Box C-126, Jacksonville, FL 32209 2019-03-27
1912497108 Lisa Jordan Adult Companion 1515 W 31st St, Jacksonville, FL 32209 2018-05-14
1275020968 Eloisa Anne Ello-esma Nurse Practitioner W. 8th Street, Jacksonville, FL 32209 2018-04-18
Find all providers in zip 32209

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1841794682 W.b. Stewart Tigers Athletics Boosters Pediatrics 1658 Kings Rd, Jacksonville, FL 32209-6167 2018-03-19
1487755567 Charles Richardson Martin Pediatrics 2 Dewitt St, Jacksonville, NC 28540-5649 2006-09-25
1922091156 Anne T Egan Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2005-08-23
1326046350 Iris Eisenberg Pediatrics 11521 N Main St, Jacksonville, FL 32218-4002 2005-07-13
1568856698 Afton Turner Pediatrics 4788 Hodges Blvd Ste B108, Jacksonville, FL 32224-7222 2015-03-26
1316385164 Rainbow Pediatric Center Pediatrics 4788 Hodges Blvd, Suite B-108, Jacksonville, FL 32224-7222 2013-06-13
1043456148 Rachna A Krish Pediatrics 13241 Bartram Park Blvd, Suite # 209, Jacksonville, FL 32258-5212 2008-12-20
1043346745 Jacksonville Pediatrics Pediatrics 2606 Park St, Jacksonville, FL 32204-4520 2007-02-26
1609925387 Erica Tarbox Pediatrics 3945 San Jose Park Dr, Jacksonville, FL 32217-4612 2007-01-10
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32209

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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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