Individual
PATRICK J MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5105 SOM CENTER ROAD, SUITE 202, WILLOUGHBY, OH 44094
(440) 953-5760
(440) 953-5761
Mailing address
7590 AUBURN ROAD, SUITE 014, ATTN: MED STAFF, CONCORD TWP, OH 44077-9176
(440) 354-1899
(440) 354-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-083891
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
32754
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-083891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503650
ANTHEM
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
05
—
200741260A
—
OK
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
05
—
2703604
—
OH
01
—
7987839
AETNA
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
01
—
P00364268
RAILROAD MEDICARE
OH
Enumeration date
05/18/2006
Last updated
02/08/2023
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