Active NPI
Richard Ingle MD Inc
- Obstetrics Physician
- Mount Shasta, CA
National Provider Identifier
1154864379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- G59041
- Legal business name
- RICHARD INGLE MD INC
- Practice address
- 914 Pine St
Mount Shasta, CA 96067-2143 - Phone
- (775) 304-7237
- Fax
- (530) 926-7134
- NPI assigned
- Nov 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Moris Ingle, M.D
- Title
- President
- Phone
- (775) 304-7237
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G59041 | CA | |
| Obstetrics Physician | 207VX0000X | G59041 | CA | Primary |
Addresses
Primary practice location
914 Pine St
Mount Shasta, CA 96067-2143
Mailing address
PO Box 292
Mount Shasta, CA 96067-0292
Phone (530) 926-7131
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1154864379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960670292",
"telephone_number": "530-926-7131",
"fax_number": "530-926-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 PINE ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672143",
"telephone_number": "775-304-7237",
"fax_number": "530-926-7134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD INGLE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "INGLE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "MORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-304-7237",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G59041",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "G59041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.