Ingram Pediatrics, P.a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME79116 Issued in FL

Legal business name

INGRAM PEDIATRICS, P.A

Practice address

4101 S Hospital Dr
Suite 12
Plantation, FL 33317-2857

Phone

(954) 321-1591

Fax

(954) 321-1592

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Deborah E Ingram, MDNPI 1700859147

Title

Physician/Owner

Phone

(954) 321-1591

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah E Ingram, MD

  • Pediatrics Physician
  • Plantation, FL
  • NPI 1700859147
  NPD Authorized official
• Michael Jay Freimark, MD

  • Pediatrics Physician
  • Plantation, FL
  • NPI 1700874823
  NPD
• Kirsten Ann Schneider, ARNP

  • Nurse Practitioner
  • Plantation, FL
  • NPI 1700810595
  NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1265581383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SOUTH HOSPITAL DRIVE",
            "address_2": "SUITE 302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172838",
            "telephone_number": "954-321-1591",
            "fax_number": "954-321-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S HOSPITAL DR",
            "address_2": "SUITE 12",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172857",
            "telephone_number": "954-321-1591",
            "fax_number": "954-321-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM PEDIATRICS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-321-1591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME79116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261906700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In the Name of Children, LLC
• In-Check Health Wellness and Beauty Centre
• In-Office Medical Diagnostics, LLC
• Independent Medical Group, LLC.
• Infections and Travel Medicine Care Center LLC
• Deborah E Ingram, MD
• John M Ingram Jr., CCP
• Marian Ingram, PHYSICIAN ASSISTANT
• Injured Response Pharmacy LLC
• Injury Treatment Center of Coral Springs, Inc.

• Primary Care Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.