AMANDA RAE INGRAM (NPI# 1073044038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073044038 |
| Entity Type | Individual |
| Full Name | AMANDA RAE INGRAM |
| Other Name | AMANDA R. HARRELL |
| Credential | M.D. |
| Practice Address |
395 W 12th Ave Rm 680 Columbus OH 43210-1267 |
| Mailing Address |
3210 Oakley Station Blvd Unit 102 Cincinnati OH 45209-1270 |
| Practice Telephone | 6142938000 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558856401 | Amanda Chambers Ingram | Nurse Practitioner | 304 Shorter Ave Nw Ste 105, Rome, GA 30165-4256 | 2018-06-23 |
| 1992052815 | Amanda Beth Ingram | Doula | 203 E Kittyhawk Dr, Midwest City, OK 73110-5313 | 2012-08-09 |
| 1720494636 | Amanda C Ingram | Pharmacist | 1105 Elizabeth St, Rankin, TX 79778 | 2014-07-11 |
| 1164775052 | Amanda Elizabeth Ingram | Social Worker | 777 Bannock St., Mail Code 1700, Denver, CO 80204-4507 | 2012-10-17 |
| 1497901854 | Amanda Davis Ingram | Radiology | 103 W Stone Dr, Kingsport, TN 37660 | 2008-08-15 |
| Street Address |
395 W 12TH AVE RM 680 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588027841 | Anghela Paredes | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 | 2016-04-03 |
| 1568999571 | Andrew Mcnair | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 | 2017-05-22 |
| 1497289672 | Jing Light Han | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 | 2017-04-14 |
| 1306379425 | Ingrid Woelfel | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 | 2017-04-05 |
| 1437680915 | Matthew Ogbeide | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 | 2017-03-25 |
| 1689037996 | Kejal Vijay Shah | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 | 2016-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1447865175 | Shelia Renee Powers | Student in an Organized Health Care Education/Training Program | 403 Jackson Cir, Columbus, MS 39705-1261 | 2020-09-10 |
| 1154934792 | Allison Lee Stillman | Student in an Organized Health Care Education/Training Program | 2033 Bedford Rd, Columbus, OH 43212-1012 | 2020-08-24 |
| 1801419155 | Adenike Eketunde | Student in an Organized Health Care Education/Training Program | 6500 Whittlesey Blvd Apt 418, Columbus, GA 31909-7270 | 2020-05-21 |
| 1841812245 | Marilyn Leif | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Ste 670, Columbus, OH 43210-1267 | 2020-05-08 |
| 1497375141 | Michaela Bertsch | Student in an Organized Health Care Education/Training Program | 15505 Zodiac St Ne, Columbus, MN 55025-9458 | 2020-04-23 |
| 1194345231 | Giancarlo Roberto Valiente | Student in an Organized Health Care Education/Training Program | 44 W Kelso Rd Apt 242b, Columbus, OH 43202-2031 | 2020-04-18 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1669091831 | Kaitlin Jessica Kavanagh | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd # 2140, Columbus, OH 43212-3153 | 2020-04-08 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on AMANDA RAE INGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.