Provider Demographics
NPI:1548207251
Name:MCINTOSH-JAMES, GINGER E (RN, BC, ANP)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:E
Last Name:MCINTOSH-JAMES
Suffix:
Gender:F
Credentials:RN, BC, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY STE 312
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-588-9600
Mailing Address - Fax:913-588-9770
Practice Address - Street 1:1530 N CHURCH RD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-7129
Practice Address - Country:US
Practice Address - Phone:816-781-1696
Practice Address - Fax:913-945-9611
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44762363LA2200X
MO112426363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO33280011OtherBCBS KC
KS100451720AMedicaid
MO429206501Medicaid
KS100451720AMedicaid
KS161291Medicare ID - Type UnspecifiedKS STATE
MO33280011OtherBCBS KC
MO090C244AMedicare ID - Type UnspecifiedKC, MO