IndividualActive
Ellis Ingram, MD
NPI 1366489080 · Anatomic Pathology & Clinical Pathology Physician · Columbia, MO
Provider details
- NPI number
- 1366489080
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R6258 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
One Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 882-1319
Fax: (573) 884-4612
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7687
Columbia, MO 65205-7687
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2008-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.