Ingram Co

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

8457 Issued in OK

Legal business name

INGRAM CO

Practice address

6525 N Meridian Ave
Oklahoma City, OK 73116-1420

Phone

(405) 719-3905

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Richard Ross

Title

Ceo

Phone

(405) 719-3905

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1972851467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161420",
            "telephone_number": "405-719-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161420",
            "telephone_number": "405-719-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-719-3905"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OK",
            "license": "8457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infectious Disease Associates LLC
• Martha Inga
• Amanda Ann Ingalls
• Kellina Ingham
• Anthony Inglese, DC
• Benjamin W. J. Ingram
• Jacklyn M Ingram, M.ED
• Kacie Marie Ingram, CTRS/L
• Kaysi Ingram
• Kristyn B. Ingram, MD

• Addiction Medicine (Family Medicine) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.