Nickolas S Mcintosh, RD, LD | |
10506 Montgomery Rd Ste 203, Montgomery, OH 45242-4400 | |
(513) 246-1900 | |
(513) 865-6160 |
Full Name | Nickolas S Mcintosh |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 10506 Montgomery Rd Ste 203, Montgomery, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548550049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2277 (Kentucky) | Secondary |
133V00000X | Dietitian, Registered | LD.7036 (Ohio) | Primary |
Provider Name | Baptist Health Deaconess Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
Mailing Address | Practice Location Address |
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Nickolas S Mcintosh, RD, LD 10506 Montgomery Rd Ste 203, Montgomery, OH 45242-4400 Ph: (513) 246-1900 | Nickolas S Mcintosh, RD, LD 10506 Montgomery Rd Ste 203, Montgomery, OH 45242-4400 Ph: (513) 246-1900 |
Mrs. Valerie Mary Young, PHD, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10700 Montgomery Rd Ste 224, Montgomery, OH 45242 Phone: 513-991-7117 Fax: 513-991-7117 | |
Ms. Christina Marie Bahan, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6200 Pfeiffer Rd, Montgomery, OH 45242 Phone: 513-985-0900 | |
Jared G Dorsa, RD Dietitian Medicare: Medicare Enrolled Practice Location: 6200 Pfeiffer Rd Ste 360, Montgomery, OH 45242 Phone: 513-862-4957 Fax: 513-862-4952 | |
Hayley Elizabeth Richardson, Dietitian Medicare: Medicare Enrolled Practice Location: 6200 Pfeiffer Rd Ste 360, Montgomery, OH 45242 Phone: 513-862-4957 | |
Hanna Thomsen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10496 Montgomery Rd Ste 206, Montgomery, OH 45242 Phone: 513-865-1446 | |
Natasha Marie Wuebker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6200 Pfeiffer Rd, Montgomery, OH 45242 Phone: 513-862-4957 Fax: 513-862-4952 |