MR. THOMAS E INGRAM


Address: 1920 Chadwick Dr, Suite 109, Jackson, MS 39204-3471
Phone: 6013739001

MR. THOMAS E INGRAM (NPI# 1871621052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871621052
Entity Type Individual
Full Name MR. THOMAS E INGRAM
Credential M.D.
Practice Address 1920 Chadwick Dr
Suite 109
Jackson
MS 39204-3471
Practice Telephone 6013739001
Practice Fax Number 6013710208
Mailing Telephone 6013739001
Mailing Fax Number 6013710208
Enumeration Date 2007-03-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 07318 MS Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00014418 05

Other Providers THOMAS INGRAM

NPI Name Taxonomy Address Enumeration
1285640466 Thomas Michael Ingram Psychologist 1210 Millennium Pkwy, Suite 1017, Brandon, FL 33511-4896 2006-07-31
1437153194 Thomas Glenn Ingram Family Medicine 1111 Crown Pointe Dr, Elizabethtown, KY 42701-7101 2005-06-10
1760875058 Thomas Lane Ingram Counselor 1210 Parkway, Austin, TX 78703-4133 2015-03-10

Office Location

Street Address 1920 CHADWICK DR
SUITE 109
City JACKSON
State MS
Zip Code 39204-3471

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699856419 Douglas Edward Gorman Jr. Plastic Surgery 1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 2006-10-18
1063549178 Plastic Surgery Center, P.a. Surgery 1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 2007-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1427593888 Care First Home Care Agency, Inc In Home Supportive Care 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 2016-12-21
1134678808 Yolonda Kinzie Registered Nurse 1134 Winter St., Jackson, MS 39204 2016-09-23
1578983938 Seaneather Arline Mcgill Nurse's Aide 2024 Shady Lane Dr, Jackson, MS 39204 2014-04-23
1942591128 Real Solutilons, LLC Exclusive Provider Organization 831 Hwy 80 W., Jackson, MS 39204 2011-04-22
1548405236 Visions Physical Therapy Specialist/Technologist 4700 Robinson Rd, Jackson, MS 39204 2008-12-09
1588759393 Donald H Butts Specialist 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 2006-10-04
1003907460 Patrick E Weldon Psychiatry & Neurology 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 2006-09-28
1922117662 Elgin Kenneth Walley Dentist 2174 Henry Hill Drive, Jackson, MS 39204 2006-08-29
1376555045 Linda Nell Hunter Nurse Practitioner 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 2006-08-12
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1396271565 Karlisha Britton Specialist 7 Lakeland Circle, Suite 300, Jackson, MS 39216 2017-05-10
1922545896 Paul Edward Ruttle Specialist 2640 Trader Rd, Jackson, WY 83001-8321 2017-01-30
1780121483 Andrew Callis Specialist 5303 Old Cape Rd E, Jackson, MO 63755-3850 2017-01-19
1538617055 Jonathan Parker Specialist 95 Riverport Dr, Jackson, TN 38301-5748 2016-09-13
1386096600 Miriam Bick Specialist 4 Florida Pl, Jackson, NJ 08527-1816 2016-07-11
1326429572 Alonzo Roberts Specialist 6110 Highway 18 W, Jackson, MS 39209-9322 2015-06-13
1407289275 Andrew Francis Charland Specialist N168w22224 Main St Ste E, Jackson, WI 53037-9321 2013-08-15
1265872501 Robyn Abbott Roberts Specialist 1904 Lakeland Dr, Suite D, Jackson, MS 39216-5038 2013-07-01
1053754580 Massage Revolution Specialist 210 E Capitol St, Ste M-142, Jackson, MS 39201-2306 2013-04-15
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Competitor

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City JACKSON
Zip Code 39204

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Dataset Information

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.

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