Provider Demographics
NPI:1396765517
Name:INGARI, JOHN VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:VICTOR
Last Name:INGARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10084 REISTERSTOWN RD STE 300A
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4160
Mailing Address - Country:US
Mailing Address - Phone:410-601-2663
Mailing Address - Fax:667-219-6250
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 290
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5073
Practice Address - Country:US
Practice Address - Phone:717-812-4090
Practice Address - Fax:717-812-4092
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9102207X00000X, 207XS0106X
PAMD438236207X00000X, 207XS0106X, 207XX0801X
MDD78368207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX036099202Medicaid
PA1583902OtherGATEWAY-WMG
MD037249800Medicaid
PA102371225Medicaid
MD956322OtherCAREFIRST MD BCBS
PA2128509OtherHIGHMARK BLUE SHIELD
PA20094591OtherAMERIHEALTH MERCY-WMG
PA281446OtherUNISON-WMG
PA1583902OtherGATEWAY-WMG
PA281446OtherUNISON-WMG
TXG10873Medicare UPIN
PA102371225Medicaid
TX036099202Medicaid