ALISA D INGRAM MD NPI 1467452987

NPI Information

NPI: 1467452987
Provider Name: ALISA D INGRAM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
501 VAN BUREN ST
SUITE 203
FOSTORIA, OH
ZIP 44830
Phone: (419) 436-1035
Get Directions

Alisa D Ingram, MD is a family medicine in Fostoria, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Alisa D Ingram, MD NPI is 1467452987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 VAN BUREN ST
SUITE 203
FOSTORIA, OH
ZIP 44830-593
Phone: (419) 436-1035
Fax: (419) 435-0849

The enumeration date for this NPI number is 7/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		35082217	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23-54980	OTHER	OHIO	UHC
2	000000348462	OTHER	OHIO	ANTHEM
3	H92840	MEDICARE UPIN	OHIO
4	7871493	OTHER	OHIO	AETNA
5	IN4114992	MEDICARE ID-TYPE UNSPECIFIED	OHIO
6	2408933	MEDICAID	OHIO
7	04357	OTHER	OHIO	PARAMOUNT
8	P00061267	OTHER	OHIO	RRMC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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