ROBERT NEAL INGRAM


Address: 1115 Ronald Reagan Pkwy, Pkwy 171, Avon, IN 46123-6910
Phone: 3172783200

ROBERT NEAL INGRAM (NPI# 1831410703) 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) 1831410703
Entity Type Individual
Full Name ROBERT NEAL INGRAM
Credential NP
Practice Address 1115 Ronald Reagan Pkwy
Pkwy 171
Avon
IN 46123-6910
Mailing Address 250 N Shadeland Ave Ste 200
Indianapolis
IN 46219-4959
Practice Telephone 3172783200
Practice Fax Number 3172735988
Enumeration Date 2010-06-15
Last Update Date 2020-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28161093A IN Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71003284A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200988950 05

Other Providers ROBERT INGRAM

NPI Name Taxonomy Address Enumeration
1831429323 Robert E. Ingram Social Worker 745 E 300 S, Salt Lake City, UT 84102-2256 2010-01-05
1881743896 Robert Ingram Internal Medicine Po Box 430, Onancock, VA 23417-0430 2007-01-09
1447325402 Robert James Ingram Chiropractor 17975 Sky Park Circle, Ste #c, Irvine, CA 92614 2006-11-22
1598152373 Robert Ingram Registered Nurse 535 Clinic Rd E, Box Elder, MT 59521-8826 2015-04-20
1740543701 Robert Ingram Specialist 5709 Durbin Rd, Bethesda, MD 20817-6118 2012-06-24
1922361823 Robert Devin Ingram Physical Therapy Assistant 3660 Central Ave, Columbus, IN 47203-4621 2012-06-17
1508906918 Robert Jefferson Ingram Counselor 2018 Western Ave, Knoxville, TN 37921-5718 2007-02-07
1427074384 Robert G Ingram Social Worker 1055 N Curtis Rd, Boise, ID 83706-1309 2006-07-14
1215968565 Robert Frank Ingram Internal Medicine 994 Drew Ln, Auburn, AL 36830-4302 2006-07-05

Office Location

Street Address 1115 RONALD REAGAN PKWY
PKWY 171
City AVON
State IN
Zip Code 46123-6910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679573620 James C Sloan Urology 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 2005-07-29
1487111274 Ann Shackelford Reeves Nurse Practitioner 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2019-02-27
1215412432 Heather Renee Seaborne Registered Nurse 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2018-10-03
1770959744 Chelsea Durnil Pharmacist 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123-6910 2015-08-13
1578961314 Urology of Indiana L.l. C. Durable Medical Equipment & Medical Supplies 1115 Ronald Reagan Pkwy, Suite 247, Avon, IN 46123-6910 2014-12-10
1639445315 Thomas A Brady Sports Medicine Ctr Durable Medical Equipment & Medical Supplies 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2012-03-28
1912290925 Kyle Andrew Frick Internal Medicine 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2011-05-24
1831405422 Amanda N Crishon Audiologist 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 2010-08-20
1316276363 Indianapolis Neurosurgical Group Nurse Practitioner 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 2009-12-21
1750614400 Lauren D Fahey Physician Assistant 1115 Ronald Reagan Pkwy, Suite 348, Avon, IN 46123-6910 2009-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669018669 Dienye Williams Pharmacist 108 North Sr 267, Avon, IN 46123 2019-11-25
1992353817 Debra Blackwell Technician 8198 Montage Ave, Apt 104, Avon, IN 46123 2019-09-04
1932675766 Blake Ponist Occupational Therapist 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 2018-10-19
1396238150 Sarah Sweany Dietitian, Registered Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 2018-06-07
1124516257 Sheree Itza Counselor 6655 E Us Highway 36 Ste 100, Avon, IN 46123 2018-04-24
1255860607 Jonathan Lambert Dentist 110 N Avon Ave B, Avon, IN 46123 2017-06-08
1023546629 10439 E Us Highway 36 Dental, LLC Dentist 10439 E Us Highway 36, Avon, IN 46123 2017-05-25
1902330756 Melissa Wheatley Occupational Therapy Assistant 6294 Forest View Court, Avon, IN 46123 2017-04-19
1932555844 Gal Marcan Family Medicine 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 2016-05-10
1962871301 Annette Joelene Oechsle Health Educator 1820 South County Road 525 East, Avon, IN 46123 2015-09-16
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932674298 Hillary E Powell Nurse Practitioner 1115 Ronald Reagan Pkwy Ste 364, Avon, IN 46123-6914 2018-10-12
1861931248 Kathleen Drellishak Nurse Practitioner 2218 Holly Ln, Avon, OH 44011-2600 2017-02-17
1184097123 Michelle Stoppani Nurse Practitioner 411 Lovely St, Avon, CT 06001-2330 2015-11-12
1558770081 Megan Mary Smith Nurse Practitioner 33671 Saint Francis Dr, Avon, OH 44011-3724 2014-08-08
1336439371 Carla M Jenkins Nurse Practitioner 1108 Kingwood Dr, Avon, IN 46123-5500 2011-04-11
1598776999 Kathleen Alice Beuning Nurse Practitioner 37905 186th Avenue, Avon, MN 56310-8704 2006-08-10
1699737189 Carol Burnham Tuller Nurse Practitioner 21 Waterville Rd, Harvest Healthcare C/o Apple Rehab, Avon, CT 06001 2006-04-03
1649795055 Donna Marie Witkins Nurse Practitioner 44 Dale Rd, Avon, CT 06001-4315 2017-08-07
1750805321 Beth Zanick Nurse Practitioner 33100 Cleveland Clinic Blvd, Cleveland Clinic Avon, Avon, OH 44011 2017-07-26
1548712094 Hanna Soltan Nurse Practitioner 33300 Cleveland Clinic Blvd, Avon, OH 44011 2016-11-01
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Competitor

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City AVON
Zip Code 46123

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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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