JOHN BRADLEY MCINTYRE


Address: 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109
Phone: 8173328848

JOHN BRADLEY MCINTYRE (NPI# 1851591648) 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) 1851591648
Entity Type Individual
Full Name JOHN BRADLEY MCINTYRE
Credential MD
Practice Address 5751 Edwards Ranch Road, Suite 200
Fort Worth
TX 76109
Mailing Address P.o. Box 961205
Fort Worth
TX 76161-1205
Practice Telephone 8173328848
Practice Fax Number 8173352670
Mailing Telephone 8177408450
Enumeration Date 2007-07-20
Last Update Date 2018-04-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology N6489 TX Allopathic & Osteopathic Physicians

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1679060354 John Davies Mcintyre Counselor 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 2018-04-18
1730314873 John R Mcintyre Nurse Anesthetist, Certified Registered 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 2009-05-19
1760547244 John D Mcintyre Specialist 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 2006-12-26
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1487740718 John Mcintyre Dentist 1301 Penn Ave, Wyomissing, PA 19610-2140 2006-10-05
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Office Location

Street Address 5751 EDWARDS RANCH ROAD, SUITE 200
City FORT WORTH
State TX
Zip Code 76109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780800938 Jeremy Paul Watkins Otolaryngology 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109 2007-04-17
1366641581 Sean Michael Callahan Otolaryngology 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109 2007-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881156164 Elizabeth Laborde Dds Pllc Clinic/Center 5656 Edwards Ranch Rd, Fort Worth, TX 76109 2019-04-04
1992273965 Debra Cooper Lantz Occupational Therapist 4252 Bryant Irvin Road, Fort Worth, TX 76109 2018-11-08
1417434119 Dermatology Specialists of Fort Worth Pllc Dermatology 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 2018-07-25
1417446709 Eating Recovery Center of Texas, LLC Clinic/Center 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 2018-05-02
1245751742 Marissa Izabel San Miguel Optometrist 5912 Convair Dr Ste 208, Fort Worth, TX 76109 2017-07-05
1174910111 Parkway Dental Professionals Preferred Provider Organization 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 2015-04-16
1831583095 Deborah K Lehmann, M.d. Clinic/Center 6420 Southwest Blvd., #128, Fort Worth, TX 76109 2015-03-26
1184036428 Ft Worth Ranch Assist, LLC Neurological Surgery 3516 Ranch View Terrace, Fort Worth, TX 76109 2014-05-21
1821435538 Metx LLC Hearing Instrument Specialist 4618 Sw Loop 820, Fort Worth, TX 76109 2013-06-04
1356608087 Virginia Flores Social Worker 4208 Ranier Ct, Fort Worth, TX 76109 2012-04-19
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

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1720437155 Central Park Ear Nose & Throat LLP Fort Worth Otolaryngology 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 2016-06-07
1346665338 George Kostohryz, Jr., M.d., P.a. Otolaryngology 4625 Boat Club Rd Ste 257, Fort Worth, TX 76135-7023 2014-02-27
1194154724 Olicolas Monitoring P.a. Otolaryngology 500 Throckmorton 3012, Fort Worth, TX 76102 2013-11-04
1639441751 Texas Health Care Pllc Otolaryngology 1250 8th Avenue, Suite 205, Fort Worth, TX 76104-4158 2012-02-06
1619266905 Texas Health Care, P.l.l.c. Otolaryngology 5801 Oakbend Trail, Suite 260, Fort Worth, TX 76132-3923 2011-04-07
1831416932 Masoud Saman Otolaryngology 923 Pennsylvania Ave Ste 100, Fort Worth, TX 76104-2254 2010-04-28
1316276744 Texas Health Care, P.l.l.c. Otolaryngology 800 8th Ave,. Suite 626, Fort Worth, TX 76104-2605 2009-12-14
1730381310 Marc Richard Dean Otolaryngology 901 Hemphill St., Fort Worth, TX 76104-3111 2007-06-05
1780800938 Jeremy Paul Watkins Otolaryngology 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109 2007-04-17
1891861779 Texas Health Care, P.l.l.c. Otolaryngology 901 Hemphill, Fort Worth, TX 76104-3111 2006-11-24
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City FORT WORTH
Zip Code 76109

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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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