AMANDA DAVIS INGRAM


Address: 103 W Stone Dr, Kingsport, TN 37660
Phone: 4239681144

AMANDA DAVIS INGRAM (NPI# 1497901854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497901854
Entity Type Individual
Full Name AMANDA DAVIS INGRAM
Credential MD
Practice Address 103 W Stone Dr
Kingsport
TN 37660
Mailing Address 3053 W State St
Bristol
TN 37620-1720
Practice Telephone 4239681144
Enumeration Date 2008-08-15
Last Update Date 2018-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
49584 TN Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
35098925 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q001537 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1924 Alcoa Hwy, Knoxville, TN 379201511 8653059661 8653056148

Other Providers AMANDA INGRAM

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
1073044038 Amanda Rae Ingram Student in an Organized Health Care Education/Training Program 395 W 12th Ave Rm 680, Columbus, OH 43210-1267 2017-03-22
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

Office Location

Street Address 103 W STONE DR
City KINGSPORT
State TN
Zip Code 37660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356396857 Holston Valley Ambulatory Surgery Center, LLC Clinic/Center 103 W Stone Dr, Kingsport, TN 37660-3220 2006-05-23
1669957924 Andrew Lingerfelt Physical Therapist 103 W Stone Dr, Kingsport, TN 37660-3220 2018-10-02
1427475078 Tara R Lange Occupational Therapist 103 W Stone Dr, Kingsport, TN 37660-3220 2014-03-20
1568618155 Kristi Marie Millar Physical Therapist 103 W Stone Dr, Suite 200, Kingsport, TN 37660-3220 2008-08-14
1720253826 Laura Austin Slusher Radiology 103 W Stone Dr, Kingsport, TN 37660 2008-04-29
1194920843 James Todd Ketron Physical Therapist 103 W Stone Dr, Kingsport, TN 37660-3220 2007-06-20
1396959748 Vanessa Gilley Physical Therapist 103 W Stone Dr, Suite 200, Kingsport, TN 37660-3220 2007-05-09
1760602445 Sarah Jill Foy Physical Therapist 103 W Stone Dr, Suite 200, Kingsport, TN 37660-3220 2007-04-26
1417177015 Eric Dean Beckerink Physical Therapy Assistant 103 W Stone Dr, Kingsport, TN 37660-3220 2007-04-26
1003035981 Allene Proctor Heaton Physical Therapist 103 W Stone Dr, Suite 200, Kingsport, TN 37660-3220 2007-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
Find all providers in zip 37660

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841278702 Kris B Saadeh Radiology 130 W. Ravine, Kingsport, TN 37660 2006-01-02
1568737666 Jonathan Spencer Suther Radiology 130 W Ravine Rd, Kingsport, TN 37660-3837 2012-03-21
1912130030 Jayson Vittori Radiology 130 W Ravine Rd, Kingsport, TN 37660 2009-08-24
1720253826 Laura Austin Slusher Radiology 103 W Stone Dr, Kingsport, TN 37660 2008-04-29
1780895284 Jason A. Hill Radiology 130 W Ravine Rd, Kingsport, TN 37660 2007-05-25
1437228053 Richard T. Kubota Radiology 130 W Ravine Rd, Kingsport, TN 37660 2006-11-07
1821029364 Rekha Jain Radiology 2000 Brookside Dr, Kingsport, TN 37660-4627 2006-07-05
1720018724 Tri City Radiology Group, PC Radiology 2000 Brookside Dr, Kingsport, TN 37660-4627 2006-07-04
1528025673 Paul D Ellis Radiology 130 W Ravine Rd, Kingsport, TN 37660 2006-05-01
1447237748 Dennis Westmoreland Radiology 2000 Brookside Dr, Kingsport, TN 37660-4627 2005-12-28
Find all providers in KINGSPORT

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City KINGSPORT
Zip Code 37660

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Dataset Information

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.

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