Ingram Medical Clinic-Cardiovascular Division, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC

Practice address

501 Keyser Ave
Natchitoches, LA 71457-6018

Phone

(318) 214-4550

Fax

(318) 354-2468

NPI assigned

Oct 26, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher L Ingram, MDNPI 1366432718

Title

Owner

Phone

(318) 354-0552

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher L Ingram, MD

  • Cardiovascular Disease Physician
  • Natchitoches, LA
  • NPI 1366432718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336139799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BIENVILLE ST",
            "address_2": "SUITE 6",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575737",
            "telephone_number": "318-354-0552",
            "fax_number": "318-354-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4550",
            "fax_number": "318-354-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-354-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1993450",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keira Marie Huff
• Dexter Humphrey, HEALTH EDUCATOR
• Chartia Hurt
• Darrell J Hutson, M.D.
• Alma Natasha Hymes
• Christopher L Ingram, MD
• Jennifer Ingram, LCSW-BACS, C-SSWS
• Kristie Irchirl
• Rodney Irchirl
• J and S Therapy, LLC

• Cardiovascular Disease Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.