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Individual provider Active NPI

George B Ingrish, MD

  • Dermatology Physician
  • Alexandria, LA
National Provider Identifier
1154344513
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
021713 Issued in LA
Practice address
201 Fourth St
Suite 4B
Alexandria, LA 71301
Phone
(318) 449-8600
Fax
(318) 449-1461
NPI assigned
Jul 26, 2006
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 021713 LA Primary

Addresses

Primary practice location

201 Fourth St
Suite 4B
Alexandria, LA 71301

Mailing address

201 4TH St
Box 30127
Alexandria, LA 71301-8421
Phone (318) 449-8600

Other identifiers 2

IdentifierTypeStateIssuer
070013396OtherLARAILROAD MEDICARE
1480126MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101023000199 LA Practitioner - Dermatology 8921290404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery ClinicGroup PAC ID 9335331818, 2 clinicians

Practice addresses (Care Compare)

415 Bienville St
Suite 3
Natchitoches, LA 71457-5700
Phone (318) 352-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions2198
Removal or shaving of skin growth1-10
Skin biopsy445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021713LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Surgery Clinic Dermatology CurrentSince Jun 1, 1999 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

201 4th St
Ste 4B
Alexandria, LA 71301
Phone (318) 449-8600

3355 Masonic Dr
Alexandria, LA 71301
Phone (318) 449-8600

415 Bienville St
Ste 3
Natchitoches, LA 71457
Phone (318) 352-9400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1154344513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH ST",
            "address_2": "BOX 30127",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-449-8600",
            "fax_number": "318-449-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOURTH ST",
            "address_2": "SUITE 4B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-449-8600",
            "fax_number": "318-449-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRISH",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "021713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070013396",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1480126",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.