DAVID BURT INGRAM (NPI# 1376071357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376071357 |
| Entity Type | Individual |
| Full Name | DAVID BURT INGRAM |
| Credential | MD |
| Practice Address |
900 Sunset Dr La Grande OR 97850-1387 |
| Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
| Practice Telephone | 5419638421 |
| Practice Fax Number | 5419631476 |
| Mailing Telephone | 5419638421 |
| Mailing Fax Number | 5419631476 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD198197 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | BP10061467 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500778372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013143148 | David Ingram Jr. | Chiropractor | 14215b Centreville Sq, Chiropractic Family Health Centre, Centreville, VA 20121-2301 | 2009-06-03 |
| 1659791804 | David Ingram Jr. | Internal Medicine | 701 E County Line Rd Ste 101, Greenwood, IN 46143-1070 | 2014-04-25 |
| 1093093239 | David G Ingram | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-07-21 |
| 1063536746 | David Andrew Ingram | Dentist | 202 S Cook St, Ste 202, Barrington, IL 60010-4369 | 2007-03-19 |
| 1447386750 | David Benjamin Ingram | Counselor | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-02-23 |
| 1881771863 | David A. Ingram Jr. | Pediatrics | 705 Riley Hospital Dr, R4-470, Indianapolis, IN 46202-5109 | 2006-11-01 |
| 1902822778 | David L. Ingram | Anesthesiology | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2006-07-14 |
| 1528002102 | David Lane Ingram | Specialist | 3024 New Bern Ave, Andrews Center, Suite 307, Raleigh, NC 27610-1247 | 2006-06-15 |
| Street Address |
900 SUNSET DR |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101696 | Geraldine Gardner | Internal Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2005-08-19 |
| 1194325357 | Jacob K. Mcginnis | Student in an Organized Health Care Education/Training Program | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-10-27 |
| 1861029159 | Robert Paul Shanks | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-03-25 |
| 1598228363 | Hannah Grace Robinson | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-09 |
| 1225590011 | Emily Whitesides | Physical Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-02 |
| 1629530431 | Marci Brianne Clarke | Occupational Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-01 |
| 1154885689 | Korreene Ann Dubray | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-01-29 |
| 1467974618 | Jared Johnathan Hulme | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-07-10 |
| 1891223848 | Roxanna Stephens | Registered Nurse | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1942735097 | Hannah Hatley | Pharmacist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760493522 | John Marshall Page | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1362 | 2006-08-10 |
| 1497780266 | Lewis B Baynes | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1362 | 2006-07-11 |
| 1790711109 | Kenneth R Chasteen | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1362 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043741010 | Hannah D Wolsiefer-leak | Emergency Medicine | 2826 East Barnett Rd, Medford, OR 97504-8332 | 2017-03-22 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1912361718 | Bryce Edwards | Emergency Medicine | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 |
| 1285013375 | Joseph Severo Simon | Emergency Medicine | 1200 Hilyard St Ste 310, Eugene, OR 97401-8122 | 2015-05-22 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1104210921 | Elizabeth Hatfield | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 |
| 1699171918 | Stephen Boyer | Emergency Medicine | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 |
| 1679991590 | Meaghan Dehning | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 |
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1164765293 | Joshua Starbuck Virgen Goldner | Emergency Medicine | 10180 Se Sunnyside Rd Dept Of, Clackamas, OR 97015-8970 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
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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.