Active NPI
John M Ingram Jr., CCP
- Perfusionist
- Plantation, FL
National Provider Identifier
1386021939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 9632 NW 7TH Cir
Apt 1718
Plantation, FL 33324-7533 - Phone
- (954) 931-0420
- NPI assigned
- May 4, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Primary |
Addresses
Primary practice location
9632 NW 7TH Cir
Apt 1718
Plantation, FL 33324-7533
Mailing address
9632 NW 7TH Cir
Apt 1718
Plantation, FL 33324-7533
Phone (954) 931-0420
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1386021939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9632 NW 7TH CIR",
"address_2": "APT 1718",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247533",
"telephone_number": "954-931-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9632 NW 7TH CIR",
"address_2": "APT 1718",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247533",
"telephone_number": "954-931-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JOHN",
"middle_name": "M",
"name_suffix": "Jr.",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
- In-Office Medical Diagnostics, LLC
- Independent Medical Group, LLC.
- Infections and Travel Medicine Care Center LLC
- Ingram Pediatrics, P.a
- Deborah E Ingram, MD
- Marian Ingram, PHYSICIAN ASSISTANT
- Injured Response Pharmacy LLC
- Injury Treatment Center of Coral Springs, Inc.
- Shannon Deann Inlow, FNP-BC
- Innate Chiropractic Healthcare PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.