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MARIAN INGRAM PHYSICIAN ASSISTANT
NPI 1508361361
Physician Assistant in Plantation, FL

Active since March 26, 2018
350 NW 84TH AVE STE 102, PLANTATION, FL 33324(954) 370-7555 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2021, May 21, 2021, Apr 12, 2018 and 1 more (4 updates tracked since 2018).

About Marian Ingram Physician Assistant NPPES

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

MARIAN INGRAM PHYSICIAN ASSISTANT (NPI 1508361361) is an individual physician assistant in Plantation, Florida, licensed in Florida (PA9111067) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1508361361
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAN INGRAMCredential: PHYSICIAN ASSISTANT
Location Address350 NW 84TH AVE STE 102Plantation, FL 33324-1820
Mailing Address350 Nw 84th Ave Ste 102Plantation, FL 33324-1820 · (954) 370-7555
Phone(954) 370-7555
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateAugust 20, 20214 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1508361361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9111067
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
350 NW 84TH AVE STE 102, Plantation, FL 33324
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Other Names 1

Former Name (1)Marian Jose Rodriguez Gutierrez

Other Providers at the Same Location NPPES 2

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

ANA MARIA GAVIRIA ARNP
Nurse Practitioner (Family)
350 NW 84TH AVE STE 102
PLANTATION, FL 33324
Broward County (954) 370-7555
BHAVIKA SWAROOP
Physician Assistant
350 NW 84TH AVE STE 102
PLANTATION, FL 33324
Broward County (954) 370-7555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marian Ingram's NPI number?

The NPI number for Marian Ingram is 1508361361. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Marian Jose Rodriguez Gutierrez.

Where is Marian Ingram located?

Marian Ingram practices at 350 NW 84th Ave Ste 102, Plantation, FL 33324. The listed phone number is (954) 370-7555.

What is Marian Ingram's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marian Ingram was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.