PHILLIP R INGRAM JR. (NPI# 1255950994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255950994 |
| Entity Type | Individual |
| Full Name | PHILLIP R INGRAM JR. |
| Credential | MD |
| Practice Address |
301 Governors Dr Sw Huntsville AL 35801-5123 |
| Practice Telephone | 2565514631 |
| Practice Fax Number | 2565514633 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1942262589 | Phillip Randall Ingram | Physician Assistant | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-04-06 |
| Street Address |
301 GOVERNORS DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770565913 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 301 Governors Dr Sw, Ste 110, Huntsville, AL 35801-5123 | 2005-11-15 |
| 1316557754 | Amani Bajunayd | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-07-31 |
| 1134738065 | Muhammad Mohsin Zafar | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-07-27 |
| 1073134672 | Joseph Alan Shaw | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-05-05 |
| 1457971988 | Sawyer Mullen | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-04-24 |
| 1225658248 | Robert Logan Staples | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-04-20 |
| 1982224085 | Whitney Nicole Lee | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-04-20 |
| 1730709833 | David Joseph Martinez | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-04-20 |
| 1477172211 | Lauren Taylor Beggs | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-04-12 |
| 1700405503 | Charles Wesley Minor | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2020-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| 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 |
|---|---|---|---|---|
| 1477166304 | Tia-ann Thompson | Student in an Organized Health Care Education/Training Program | 2435 Montgomery Rd Apt 214, Huntsville, TX 77340-6062 | 2020-08-29 |
| 1467063073 | Kelly Lynn Tillman | Student in an Organized Health Care Education/Training Program | 1802 Cross Creek Rd Se, Huntsville, AL 35802-3970 | 2020-08-17 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1528687167 | James Paul Molyneux | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw Ste 389, Huntsville, AL 35801-5123 | 2020-04-14 |
| 1619507126 | Dwight Alexander Love | Student in an Organized Health Care Education/Training Program | 2531 Rita Ln Nw, Huntsville, AL 35810-3565 | 2020-01-23 |
| 1437789955 | Katherine Valentine | Student in an Organized Health Care Education/Training Program | 11300 Regency Way Sw, Huntsville, AL 35803-5014 | 2020-01-23 |
| 1649800152 | Olivia Hammond | Student in an Organized Health Care Education/Training Program | 55 Walnut Cove Blvd Sw, Huntsville, AL 35824-4046 | 2020-01-23 |
| 1619507118 | Caleb Aycock | Student in an Organized Health Care Education/Training Program | 138 Matt Phillips Rd Nw, Huntsville, AL 35806-2202 | 2020-01-23 |
| 1790245728 | Ashlyn Marie Alongi | Student in an Organized Health Care Education/Training Program | 1301 Deborah Dr Se, Huntsville, AL 35801-1491 | 2019-03-25 |
| 1700347655 | Eman Alshaikh | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw Rm 240, Huntsville, AL 35801-5123 | 2019-03-25 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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| 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.