JEANNETTE MARIELLE MCINTYRE (NPI# 1679916340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679916340 |
| Entity Type | Individual |
| Full Name | JEANNETTE MARIELLE MCINTYRE |
| Credential | M.D. |
| Practice Address |
4389 Beaufort Rd Havelock NC 28532 |
| Practice Telephone | 2524660181 |
| Mailing Telephone | 2524660181 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29005 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000 | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750799854 | Jeannette Mcintyre | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2014-08-01 |
| Street Address |
4389 BEAUFORT RD |
| City | HAVELOCK |
| State | NC |
| Zip Code | 28532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708627 | Samantha D Davidson | Counselor | 4389 Beaufort Rd, Havelock, NC 28532 | 2018-11-05 |
| 1740768332 | Miles Backstrom | Dentist | 4389 Beaufort Rd, Havelock, NC 28532 | 2018-08-06 |
| 1073091294 | Matthew Orgill | Optometrist | 4389 Beaufort Rd, Havelock, NC 28532 | 2018-07-31 |
| 1992208649 | Ryan Hughes | Student in an Organized Health Care Education/Training Program | 4389 Beaufort Rd, Havelock, NC 28532 | 2018-03-08 |
| 1336663038 | Sakshi Sharma | Psychologist | 4389 Beaufort Rd, Havelock, NC 28532 | 2017-08-03 |
| 1881129021 | Samuel Ward | Family Medicine | 4389 Beaufort Rd, Havelock, NC 28532 | 2017-04-25 |
| 1932632767 | Kyle Herring | Family Medicine | 4389 Beaufort Rd, Havelock, NC 28562 | 2017-04-08 |
| 1669920906 | Julia Eva Von Heeringen | Psychologist | 4389 Beaufort Rd, Havelock, NC 28532 | 2016-09-15 |
| 1184170797 | Accursia Angelene Baldassano | Nurse Practitioner | 4389 Beaufort Rd, Havelock, NC 28533 | 2016-09-01 |
| 1225414204 | Trinity Rose Parker | Psychologist | 4389 Beaufort Rd, Havelock, NC 28532 | 2015-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341396 | Tara-dawm R Tootle | Pharmacist | 1204 E Mail St, Havelock, NC 28532 | 2020-06-23 |
| 1194377903 | Jessy Eugene Warren Whittall | Military Health Care Provider | 4389 Beafort Rd, Havelock, NC 28532 | 2019-07-11 |
| 1508375676 | Lacey Leeann Robinson | Dentist | 610 Miller Boulevard, Havelock, NC 28532 | 2017-09-21 |
| 1053861112 | Adam Toliver Davis | Dentist | 502 Us Hwy 70 West, Havelock, NC 28532 | 2016-10-12 |
| 1467825331 | Stephany Agudelo | Social Worker | 102 Verona Dive, Havelock, NC 28532 | 2015-11-02 |
| 1386089225 | Joanna Tiaira Johnson | Nurse Practitioner | 4389 Beaufort, Havelock, NC 28532 | 2013-05-06 |
| 1962665653 | Coastal Childrens Clinic | Pediatrics | 218 Stone Bridge Square, Havelock, NC 28532 | 2008-07-03 |
| 1235325218 | Michelle Land Amber | Dietitian, Registered | 210 Stonebridge Square, Havelock, NC 28532 | 2007-09-24 |
| 1437217213 | Havelock Chiropractic Center P.a. | Chiropractor | 314 Highway 70 West, Havelock, NC 28532 | 2006-12-05 |
| 1831273127 | David Lee Woodward Jr. | Chiropractor | 314 Hwy. 70 West, Havelock, NC 28532 | 2006-10-24 |
| Find all providers in zip 28532 | ||||
| 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 |
|---|---|---|---|---|
| 1891282638 | Coastal Carolina Health Care, Pa | Family Medicine | 1224 E Main St, Havelock, NC 28532-2405 | 2018-04-17 |
| 1881129021 | Samuel Ward | Family Medicine | 4389 Beaufort Rd, Havelock, NC 28532 | 2017-04-25 |
| 1932632767 | Kyle Herring | Family Medicine | 4389 Beaufort Rd, Havelock, NC 28562 | 2017-04-08 |
| 1538177100 | Simon O'regan | Family Medicine | 532 Webb Blvd, Havelock, NC 28532-2042 | 2006-08-03 |
| 1730117110 | William Crawford | Family Medicine | 532 Webb Blvd, Havelock, NC 28532-2042 | 2006-06-28 |
| 1891783056 | Jean Basnight | Family Medicine | 1224 E Main St, Havelock, NC 28532 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
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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.