| Ellis A Ingram, MD | |
| 
					One Hospital Dr, Columbia, MO 65212-0001  | |
| (573) 882-1319 | |
| (573) 884-4612 | 
| Full Name | Ellis A Ingram | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | One Hospital Dr, Columbia, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366489080 | NPI | - | NPPES | 
| 1104034 | Other | MO | UNITED HEALHCARE | 
| 126604 | Other | MO | HEALTHLINK | 
| 127403 | Other | MO | BLUE SHIELD/BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R6258 (Missouri) | Primary | 
| 207ZC0500X | Pathology - Cytopathology | R6258 (Missouri) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ellis A Ingram, MD Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259  | Ellis A Ingram, MD One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-1319  | 
Thomas Bart Shaw, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Charles W Caldwell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1013 Marcassin Dr, Columbia, MO 65201 Phone: 573-442-8442  | |
Paul J Mcgowan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Fnu Sonam, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-3014  | |
Lester J. Layfield, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1201 Fax: 573-884-4612  | |
Grant Van Dyke Darkow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Anna Venneman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  |