Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Clare Macintosh

Individual provider Obstetrics & Gynecology Physician · NPI 1336625243

Alyssa Clare Macintosh is a Physician Assistant in Norwich, New York. Qualified in 2018, 8 years ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

179 N Broad St
Norwich, NY 13815-1019
Phone: (607) 337-4218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 022181 (NY)

Record details

NPI number1336625243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2018
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address225 Wilkinson St Apt 423, Syracuse, NY 13204-2498

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Norwich