MICHAEL DAVID INGRAM (NPI# 1861999401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861999401 |
Entity Type | Individual |
Full Name | MICHAEL DAVID INGRAM |
Credential | MD |
Practice Address |
1130 W. Michigan St Fessler Hall 318 Indianapolis IN 46202 |
Mailing Address |
1801 N. Senate Blvd Mpc 2, Suite 3500 Indianapolis IN 46202 |
Practice Telephone | 3172748282 |
Mailing Telephone | 3172747827 |
Enumeration Date | 2018-04-10 |
Last Update Date | 2018-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
11200113A | IN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427438415 | Michael Thomas Ingram Jr. | Psychiatry & Neurology | 8271 Melrose Ave Ste 110, Los Angeles, CA 90046-6800 | 2015-06-04 |
1942498027 | Michael Allen Ingram | Pharmacist | 1134 Us Highway 27 S, Cynthiana, KY 41031-4177 | 2007-10-14 |
1679527949 | Michael L Ingram | Radiology | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-20 |
1679074371 | Michael John Roy Ingram | Physical Therapist | 2490 International Cir, Colorado Springs, CO 80910-3150 | 2018-02-27 |
1790086262 | Michael Joseph Ingram | Counselor | 1901 Huguenot Rd, Suite 201, Richmond, VA 23235-4311 | 2010-11-15 |
1891961124 | Michael Ingram | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-05-06 |
1295767283 | Michael Ingram | Psychiatry & Neurology | 690 S Trumbull, Bay City, MI 48708 | 2006-07-07 |
1205888328 | Michael A Ingram | Emergency Medicine | 1321 Colby Ave, Everett, WA 98201-1665 | 2006-05-17 |
1336112077 | Michael Douglas Ingram | Specialist | 3705 5th Ave, Pittsburgh, PA 15213-2524 | 2006-02-13 |
1255329199 | Michael A Ingram | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2005-10-13 |
Street Address |
1130 W. MICHIGAN ST FESSLER HALL 318 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801328695 | Kelly Grott | Anesthesiology | 1130 W. Michigan St, Fesler Hall 204, Indianapolis, IN 46202 | 2017-03-30 |
1831652635 | Matthew Anton Coghlan | Student in an Organized Health Care Education/Training Program | 1130 W. Michigan St, Fesler Hall 318, Indianapolis, IN 46202 | 2019-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
Find all providers in zip 46202 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
1073542346 | Deepak Guttikonda | Surgery | 8075 N Shadeland Ave Ste 330, Indianapolis, IN 46250-2694 | 2006-06-30 |
1255397246 | Gary W Lemmon | Surgery | 1801 N Senate Blvd Ste D-3500, Indianapolis, IN 46202-1228 | 2006-04-26 |
1851746465 | Justin Rossel King | Surgery | 1801 N Senate Blvd, Mpc 2, Suite #3500, Indianapolis, IN 46202 | 2016-05-02 |
1629437397 | Center for Vein Restoration In, LLC | Surgery | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2016-02-23 |
1578944427 | Sarah Strot | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2015-06-17 |
1508285784 | Shihuan Keisin Wang | Surgery | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2014-04-15 |
1659676146 | Gregory George Westin | Surgery | 1801 N Senate Blvd, Mpc2, Suite 3500, Indianapolis, IN 46202-1184 | 2011-01-14 |
1407014426 | Kevin M Sheridan | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2008-05-27 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46202 |
Please comment or provide details below to improve the information on MICHAEL DAVID INGRAM.
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.