INGRAM PEDIATRICS, P.A. (NPI# 1265581383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265581383 |
| Entity Type | Organization |
| Organization Name | INGRAM PEDIATRICS, P.A. |
| Practice Address |
4101 S Hospital Dr Suite 12 Plantation FL 33317-2857 |
| Practice Telephone | 9543211591 |
| Practice Fax Number | 9543211592 |
| Mailing Telephone | 9543211591 |
| Mailing Fax Number | 9543211592 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH E INGRAM (OWNER) |
| Authorized Official Telephone | 9543211591 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME79116 | FL | Ambulatory Health Care Facilities |
| Street Address |
4101 S HOSPITAL DR SUITE 12 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700859147 | Deborah E Ingram | Pediatrics | 4101 S Hospital Dr, Suite 12, Plantation, FL 33317-2857 | 2006-02-08 |
| 1831799402 | Desiree Davis | Nurse Practitioner | 4101 S Hospital Dr, Plantation, FL 33317-2857 | 2020-10-31 |
| 1821550674 | Claudia Patricia Teran | Nurse Practitioner | 4101 S Hospital Dr, Plantation, FL 33317-2857 | 2019-04-02 |
| 1598108540 | Infections and Travel Medicine Care Center LLC | Internal Medicine | 4101 S Hospital Dr, Suite 9, Plantation, FL 33317-2857 | 2013-04-09 |
| 1760646046 | Wilson Dumornay M D P A | Otolaryngology | 4101 S Hospital Dr, Suite 14, Plantation, FL 33317-2857 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246148 | South Florida Sports and Preventive Medicine Inc | Clinic/Center | 510 Nw 84th Ave Apt 440, Plantation, FL 33324-1874 | 2019-03-28 |
| 1053754028 | Healthpath Medical Center, LLC | Clinic/Center | 201 Nw 82nd Ave Ste 203b, Plantation, FL 33324-1854 | 2013-04-09 |
| 1881941821 | Aiken's Primary Care LLC | Clinic/Center | 5975 W Sunrise Blvd Ste 105, Plantation, FL 33313-6801 | 2012-08-09 |
| 1306142195 | Cynthia M Auerbach | Clinic/Center | 6201 Almond Ter, Plantation, FL 33317-2562 | 2011-01-27 |
| 1558497370 | Kids Klinic, Broward Children Center | Clinic/Center | 1055 Sw 44th Ave, Plantation, FL 33317-4535 | 2007-02-26 |
| 1922160225 | Pediatrics Care Plus | Clinic/Center | 301 Nw 84th Ave Ste 203, Plantation, FL 33324-1807 | 2006-12-14 |
| 1942848833 | Mahogany Health Center Inc | Clinic/Center | 660 N State Road 7 Ste 4, Plantation, FL 33317-2117 | 2019-12-11 |
| 1124526520 | Wn Medical Inc | Clinic/Center | 499 Nw 70th Ave, Plantation, FL 33317-7500 | 2018-01-31 |
| 1861844227 | Nancy Pyram-bernard Do LLC Lice Source Services & Sffhrc | Clinic/Center | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2016-07-11 |
| 1912358169 | Dhgmso | Clinic/Center | 201 Nw 70th Ave, Suite D, Plantation, FL 33317-2369 | 2016-06-29 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.