DAVID LANE INGRAM (NPI# 1528002102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528002102 |
| Entity Type | Individual |
| Full Name | DAVID LANE INGRAM |
| Credential | M.D. |
| Practice Address |
3024 New Bern Ave Andrews Center, Suite 307 Raleigh NC 27610-1247 |
| Mailing Address |
2004 N Lakeshore Dr Chapel Hill NC 27514-2024 |
| Practice Telephone | 9193508493 |
| Practice Fax Number | 9193508677 |
| Mailing Telephone | 9199679883 |
| Mailing Fax Number | 9193508677 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19062 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8945251 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013143148 | David Ingram Jr. | Chiropractor | 14215b Centreville Sq, Chiropractic Family Health Centre, Centreville, VA 20121-2301 | 2009-06-03 |
| 1376071357 | David Burt Ingram | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1659791804 | David Ingram Jr. | Internal Medicine | 701 E County Line Rd Ste 101, Greenwood, IN 46143-1070 | 2014-04-25 |
| 1093093239 | David G Ingram | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-07-21 |
| 1063536746 | David Andrew Ingram | Dentist | 202 S Cook St, Ste 202, Barrington, IL 60010-4369 | 2007-03-19 |
| 1447386750 | David Benjamin Ingram | Counselor | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-02-23 |
| 1881771863 | David A. Ingram Jr. | Pediatrics | 705 Riley Hospital Dr, R4-470, Indianapolis, IN 46202-5109 | 2006-11-01 |
| 1902822778 | David L. Ingram | Anesthesiology | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2006-07-14 |
| Street Address |
3024 NEW BERN AVE ANDREWS CENTER, SUITE 307 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664924 | Lynn M Rebello | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610 | 2005-07-28 |
| 1275158206 | Alejandro Ramirez Lopez | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2020-06-16 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1821659079 | Sharon Elizabeth Booth | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1790343366 | Wakemed Specialists Group LLC | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-30 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1649835836 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1639734817 | Wakemed Specialists Group, LLC | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1629540323 | Sieara Kearney | Specialist | 5503 Metedeconk Ln, Raleigh, NC 27604-5404 | 2018-12-19 |
| 1821480872 | Sharon Hahn | Specialist | 6728 Eastbrook Dr, Raleigh, NC 27615-7309 | 2015-02-27 |
| 1184030611 | Life Without Limits Coaching and Counseling Pllc | Specialist | 841 Oxen Cir, Raleigh, NC 27603-9165 | 2014-07-04 |
| 1083029383 | Village Hands Foundation | Specialist | 5808 Departure Dr Ste 101, Raleigh, NC 27616-1934 | 2014-06-25 |
| 1346584620 | Danielle Blackwell | Specialist | 723 Saint Marys St, Raleigh, NC 27605-1424 | 2012-11-27 |
| 1053686113 | Duraleigh Gynecology Pa | Specialist | 2800 Blue Ridge Rd Ste 210, Raleigh, NC 27607-6477 | 2012-03-21 |
| 1578831541 | Christopher Mcclain | Specialist | 1630 Claiborne Ct, Raleigh, NC 27606-4603 | 2011-12-06 |
| 1720366610 | Bonny Reid | Specialist | 3122 Tanager St, Raleigh, NC 27606-3641 | 2011-07-27 |
| 1619276318 | Wakehealth Medical Group, Pa. | Specialist | 13200 New Falls of Neuse Rd, Ste 113, Raleigh, NC 27614-8239 | 2011-03-21 |
| Find all providers in RALEIGH | ||||
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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.