Active NPI
Joan Carol Ingram, MD
- Family Medicine Physician
- Fort Hood, TX
National Provider Identifier
1174563142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101042952
- Practice address
- BLDG 224T 58TH St & 761St Tauh Battalion Ave
Thomas Moore Health Clinic
Fort Hood, TX 76544 - Phone
- (254) 285-6230
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101042952 | VA | Primary |
Addresses
Primary practice location
BLDG 224T 58TH St & 761St Tauh Battalion Ave
Thomas Moore Health Clinic
Fort Hood, TX 76544
Mailing address
36000 Darnall Loop
Carl R Darnall Army Medical Center
Fort Hood, TX 76544
Other names 1
- Mrs. Joan Carol Trost Laky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101042952 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174563142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "CARL R DARNALL ARMY MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 224T 58TH ST & 761ST TAUH BATTALION AVE",
"address_2": "THOMAS MOORE HEALTH CLINIC",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-285-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JOAN",
"middle_name": "CAROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101042952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "TROST LAKY",
"middle_name": "CAROL",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.