| David Burt Ingram, MD | |
|
900 Sunset Dr, La Grande, OR 97850-1387 | |
| (541) 963-8421 | |
| (541) 963-1476 |
| Full Name | David Burt Ingram |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 900 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376071357 | NPI | - | NPPES |
| 500778372 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | BP10061467 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | MD198197 (Oregon) | Primary |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Mailing Address | Practice Location Address |
|---|---|
| David Burt Ingram, MD Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 963-8421 | David Burt Ingram, MD 900 Sunset Dr, La Grande, OR 97850-1387 Ph: (541) 963-8421 |
Dr. Lewis B Baynes, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 | |
Stephen Andrew Mcilmoil, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 Fax: 541-963-1476 | |
Dr. John Marshall Page, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 Fax: 541-963-1845 | |
Dr. Kenneth R Chasteen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 |