NPIMap

Organization Active NPI

Ingram Health Group Co

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1144536384
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043975A Issued in IN
Legal business name
INGRAM HEALTH GROUP CO
Practice address
5868 E 71St St
Suite E-230
Indianapolis, IN 46220-4075
Phone
(317) 480-2047
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Ingram
Title
Ceo
Phone
(317) 480-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01043975A IN Primary

Addresses

Primary practice location

5868 E 71St St
Suite E-230
Indianapolis, IN 46220-4075

Mailing address

5868 E 71St St
Suite E-230
Indianapolis, IN 46220-4075

National Provider Directory

National Provider Directory

Locations

5868 E 71st St
Ste E230
Indianapolis, IN 46220
Phone (317) 480-2047

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1144536384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 E 71ST ST",
            "address_2": "SUITE E-230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5868 E 71ST ST",
            "address_2": "SUITE E-230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204075",
            "telephone_number": "317-480-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM HEALTH GROUP CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-480-2047"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043975A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.