INGRAM DORANN JACKSON (NPI# 1205941697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205941697 |
| Entity Type | Individual |
| Full Name | INGRAM DORANN JACKSON |
| Credential | MT (ASCP) |
| Practice Address |
2002 Holcombe Blvd Houston TX 77030-4211 |
| Mailing Address |
7675 Phoenix Dr 1004 Houston TX 77030-4700 |
| Practice Telephone | 7137947333 |
| Mailing Telephone | 7137955991 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2002 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488290 | Gayathri Bhagwath | Internal Medicine | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2005-06-21 |
| 1023615143 | Aji Sam | Nurse Practitioner | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-10-01 |
| 1639785280 | Jessie Ho | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-18 |
| 1326653437 | Stacey Edwards | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-15 |
| 1104431436 | Jessica Taylor Honkomp | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-14 |
| 1205449360 | Holly Denise Robertson | Registered Nurse | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-28 |
| 1033720933 | Alana Rice | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1033720925 | Noelle Marie Cordova | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1679184568 | Khushbu A Patel | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1336750314 | Melissa Lorraine Alvarez | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437335924 | Jarratt Wade Landers | Spec/Tech, Pathology | 1 Hermann Museum Circle Dr Apt 2025, Houston, TX 77004-7187 | 2008-01-14 |
| 1629175450 | Nwamiri Kalu Diogu | Spec/Tech, Pathology | 6506 Warfield Ln, Houston, TX 77084-6559 | 2006-09-20 |
| 1457456048 | Amelia Butler Metcalf | Spec/Tech, Pathology | 5407 Alba, Houston, TX 77091-5603 | 2006-09-14 |
| 1043407133 | Frank John Becker | Spec/Tech, Pathology | 18300 Saint John Dr, Att: Christus St John Hospital Laboratory, Houston, TX 77058-6302 | 2007-10-02 |
| 1184719569 | Fong-bor Lee | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030 | 2006-10-03 |
| 1598865107 | Shahana Siddiqui | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-24 |
| 1497853576 | Lillian Reponzel Haymer | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030 | 2006-09-20 |
| 1639275035 | Bernita Hudson | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-15 |
| 1255440558 | Lung Lee | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-30 |
| 1346350642 | Dawn M Hintz | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-30 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on INGRAM DORANN JACKSON.
| 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.