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

Whitley P McIntosh, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699302836

Whitley P McIntosh, DO is an Obstetrics/Gynecology in Edgewood, Kentucky. Qualified in 2024, 2 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20 Medical Village Dr
Edgewood, KY 41017-5401
Phone: (859) 341-2510
Fax: (859) 578-5888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 N Tenaya Way, Las Vegas, NV 89128-0436 — (702) 962-9552

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 05743 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699302836
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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