Gregory C Ingram, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3244 Issued in OH

Practice address

111 S 3Rd St
Marietta, OH 45750-3111

Phone

(740) 373-2069

Fax

(740) 373-2069

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Interoperability endpoints

• Direct secure messaging: greg.ingram@direct.revolutionehr.com

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1194750646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503111",
            "telephone_number": "740-373-2069",
            "fax_number": "740-373-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503111",
            "telephone_number": "740-373-2069",
            "fax_number": "740-373-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0394210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Hupp
• Christine Hupp, PA
• Amanda Jane Hurst, RCP
• Adam Husk
• Mona Abdelgalil Imam, M.D.
• Dominique Paul Irizarry
• J. E. Castle
• Delinda Dawn Jackson, NP-C
• Valerie J Jacoby, MA CCC-SLP
• Susan Jahn

• Optometrist in Marietta, OH
• Providers in Marietta, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.