Organization Active NPI

Richard Ingle MD Inc

  • Obstetrics Physician
  • Mount Shasta, CA
National Provider Identifier
1154864379
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G59041 Issued in CA
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G59041 CA
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.