ELLIS A INGRAM MD
NPI 1366489080
Pathology - Anatomic Pathology & Clinical Pathology in Columbia, MO

Q: What is Ellis Ingram's NPI number?

The NPI number for Ellis Ingram is 1366489080. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Ellis Ingram's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Ellis Ingram was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2006

ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 882-1319(573) 884-4612 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ellis A Ingram Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIS A INGRAM MD (NPI 1366489080) is an individual anatomic pathology & clinical pathology provider in Columbia, Missouri, licensed in Missouri (R6258) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366489080

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameELLIS A INGRAMCredential: MD

Location AddressONE HOSPITAL DRColumbia, MO 65212-0001

Mailing AddressPo Box 7687Columbia, MO 65205-7687 · (573) 882-2259

Phone(573) 882-1319

Fax(573) 884-4612

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateFebruary 20, 2008

✔ NPI 1366489080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MO · R6258

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License R6258 (MO)

ONE HOSPITAL DR, Columbia, MO 65212

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Other Identifiers 5

Medicare PINP00415606MO

Other127403MO · Blue Shield/blue Cross

Other126604MO · Healthlink

Other1104034MO · United Healhcare

Medicare UPINF05439

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI A MYLENBUSCH CRNA

Nurse Anesthetist, Certified Registered