DR. JORDAN B INGRAM (NPI# 1679952535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679952535 |
| Entity Type | Individual |
| Full Name | DR. JORDAN B INGRAM |
| Credential | M.D. |
| Practice Address |
950 Matthew Dr Waynesboro MS 39367-2590 |
| Practice Telephone | 6017355151 |
| Practice Fax Number | 6017357169 |
| Mailing Telephone | 6017355151 |
| Mailing Fax Number | 6017357169 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 57323 | TN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 25095 | MS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 25095 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045090 | Jordan Ingram | Social Worker | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-08-31 |
| 1326519554 | Jordan Elizabeth Ingram | Occupational Therapist | 1212 W Parmer Ln Ste E, Austin, TX 78727-4657 | 2018-12-16 |
| Street Address |
950 MATTHEW DR |
| City | WAYNESBORO |
| State | MS |
| Zip Code | 39367-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1831483569 | Janet M Bullock | Dietitian, Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2011-05-28 |
| 1659683266 | Douglas Hunt Blackledge | Anesthesiology | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2010-07-12 |
| 1023271723 | Wayne General Hospital | Respite Care | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-07-03 |
| 1366614901 | Wayne General Ambulance | Ambulance | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-03-24 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1093930638 | Wayne General Hospital | Nurse Anesthetist, Certified Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1902021546 | Wayne General Hospsital | Internal Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1669484655 | Brian K Williams | Family Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
| 1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
| 1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
| Find all providers in zip 39367 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649573999 | Nes Georgia, Inc. | Emergency Medicine | 351 Liberty Street, Waynesboro, GA 30830-9686 | 2010-12-08 |
| 1003886672 | James R Biggers | Emergency Medicine | 522 Luna Rd, Waynesboro, TN 38485-3938 | 2006-01-25 |
| 1174501597 | Esmeraldo Diaz Herrera | Emergency Medicine | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2006-01-05 |
| 1497747778 | Donald H Polk | Emergency Medicine | 206 Clifton Tpke, Waynesboro, TN 38485-2301 | 2005-08-22 |
| 1881699247 | Waynesboro Hospital | Emergency Medicine | 501 East Main Street, Waynesboro, PA 17268 | 2005-06-14 |
| 1982984738 | Burke County Emergency Physicians LLC | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2011-08-25 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1336203264 | Samuel C. Nixon | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2006-12-22 |
| 1609962547 | Merrill B Mckenzie | Emergency Medicine | 501 East Main Street, Waynesboro, PA 17268 | 2006-10-05 |
| 1063435717 | Ryan Patrick Johnson | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2006-07-25 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 39367 |
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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.