MR. MARK W INGRAM (NPI# 1124079017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124079017 |
| Entity Type | Individual |
| Full Name | MR. MARK W INGRAM |
| Credential | PAC |
| Practice Address |
908 West North 4th St Morristown TN 37813 |
| Mailing Address |
4519 Majestic Magnolia Lane Morristown TN 37814 |
| Practice Telephone | 4235864995 |
| Mailing Telephone | 4233128546 |
| Mailing Fax Number | 4235819692 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA783 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417235425 | Mark Anthony Ingram | Counselor | 7537 S Braden Ave, Tulsa, OK 74136-8202 | 2011-07-25 |
| 1912166364 | Mark James Ingram | Counselor | 9421 E 95th Pl, Tulsa, OK 74133-6166 | 2008-06-02 |
| 1982758223 | Mark M Ingram | Dentist | 1407 E Union St, Vienna, GA 31092-7531 | 2007-01-23 |
| 1700373347 | Mark Steven Ingram | Social Worker | 2865 W Broad St, Columbus, OH 43204-2643 | 2018-04-19 |
| 1477846160 | Mark J Ingram | Psychologist | 2790 Skypark Dr, Suite 210, Torrance, CA 90505-5300 | 2011-05-27 |
| 1295988228 | Mark A Ingram | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2008-11-04 |
| 1710040621 | Mark Ingram | Internal Medicine | 234 E 149th St, Lincoln Hospital, Dept. of Surgery, Rm. 6-20, Bronx, NY 10451-5504 | 2006-12-19 |
| Street Address |
908 WEST NORTH 4TH ST |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629584917 | Bradley Allen Irvin | Physician Assistant | 4185 Willow Way, Morristown, TN 37814-1611 | 2017-12-21 |
| 1831619592 | Meghan Mary Nilan | Physician Assistant | 131 Madison Ave Ste 2, Morristown, NJ 07960-7360 | 2017-06-23 |
| 1417348426 | Katherine Eleanor Walton | Physician Assistant | 1434 Monroe St, Morristown, TN 37814-3033 | 2015-02-12 |
| 1235563099 | Andrew Somerville | Physician Assistant | 2 Tikvah Way, Morristown, NJ 07960-3651 | 2013-08-29 |
| 1588006969 | Jenna Stephanie Giannelli | Physician Assistant | 435 South St Ste 370, Morristown, NJ 07960-6480 | 2013-07-25 |
| 1750563631 | George Trion Lawless | Physician Assistant | 5932 Commerce Blvd, Carehere, Morristown, TN 37814-1051 | 2007-12-03 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| 1609976984 | David Farag | Physician Assistant | 182 South Street, Suite 1, Morristown, NJ 07960-5350 | 2006-09-25 |
| 1427092691 | Cheryl Boss | Physician Assistant | Morristown Memorial Hospital, 100 Madison Avenue, Morristown, NJ 07960 | 2006-06-16 |
| 1245215540 | Jessica M Drown | Physician Assistant | 100 Madison Ave # 96, Morristown, NJ 07960 | 2005-12-08 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
Please comment or provide details below to improve the information on MR. MARK W 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.