MR. JEFFERY LYNN INGRAM (NPI# 1255650099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255650099 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY LYNN INGRAM |
| Credential | R.EEG/EPT, CNIM |
| Practice Address |
205 N Park Dr Raymore MO 64083-9186 |
| Practice Telephone | 6604923841 |
| Mailing Telephone | 6604923841 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
2112 | MO | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
477 | MO | Technologists, Technicians & Other Technical Service Providers |
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
899 | MO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
205 N PARK DR |
| City | RAYMORE |
| State | MO |
| Zip Code | 64083-9186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023597127 | Eye Care Pa | Ophthalmology | 1018 W Foxwood Drive, Raymore, MO 64083 | 2018-08-09 |
| 1174044192 | Laura Lynn Snyder | Physical Therapist | 6264 Lewis Street, Suite 100, Parkville, MO 64083 | 2017-06-29 |
| 1861922460 | Samuel Riggs | Specialist/Technologist | 1700 Johnston Dr., Raymore, MO 64083 | 2017-06-15 |
| 1487198354 | Kareem Foundation | Clinic/Center | 12404 Blue Ridge Extension, Grandview, MO 64083 | 2016-12-13 |
| 1679020135 | Rachel Gray | Licensed Practical Nurse | 1010 Reminton Plaza, Raymore, MO 64083 | 2016-09-01 |
| 1871863431 | Burleson Orthodontics and Pediatric Dentistry, LLC | Dentist | 401 Laurus Dr, Raymore, MO 64083 | 2012-01-12 |
| 1396020541 | Kristy Steigerwalt | Pharmacist | 806 S Adams, Raymore, MO 64083 | 2011-10-19 |
| 1295946069 | Mary K Mitchell | Dentist | 109 South Madison, Raymore, MO 64083 | 2007-05-24 |
| 1407920796 | Lucye Ritchey | Audiologist-Hearing Aid Fitter | 1298 W Foxwood Dr Ste B, Raymore, MO 64083 | 2006-11-20 |
| 1184719627 | Amit Mohan | Family Medicine | 1118-b Remington Plz, Raymore, MO 64083 | 2006-10-03 |
| Find all providers in zip 64083 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746084 | Midwest Monitoring LLC | Specialist/Technologist, Other | 5796 S Route K, Columbia, MO 65203-9152 | 2020-06-26 |
| 1932428109 | John Alan Ross | Specialist/Technologist, Other | 9905 N Willow Ave, Kansas City, MO 64157-1046 | 2010-05-26 |
| 1639492648 | Olivia Fisher | Specialist/Technologist, Other | 5500 Wyandotte St, Kansas City, MO 64113-1217 | 2010-03-04 |
| 1871132548 | Anthony Clark Dunning | Specialist/Technologist, Other | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2019-12-30 |
| 1043730559 | Monument Diagnostics LLC | Specialist/Technologist, Other | 4579 Laclede Ave, Pmb #282, Saint Louis, MO 63108-2103 | 2017-06-26 |
| 1942654280 | Jason Fanselau | Specialist/Technologist, Other | 128 W 13th St, Apt 1011, Kansas City, MO 64105-1726 | 2016-04-22 |
| 1174921514 | Neurotherapy Center of St Louis LLC | Specialist/Technologist, Other | 425 Marshall Ave, Webster Grvs, MO 63119-1833 | 2014-12-17 |
| 1881955250 | Seastnan Medical, LLC | Specialist/Technologist, Other | 5500 Wyandotte St, Kansas City, MO 64113-1217 | 2012-06-01 |
Please comment or provide details below to improve the information on MR. JEFFERY LYNN 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.