MEDICARE: INGRID SHARON MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086X0206X	Surgical Oncology Physician	34226	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417929597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INGRID SHARON MD PC

Provider Business Mailing Address
First Line	:	3920 N UNION BLVD
Second Line	:	STE 370
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4900
Country	:	US
Telephone Number	:	719-477-0211
Fax Number	:	719-477-0501

Provider Business Practice Location Address
First Line	:	3920 N UNION BLVD
Second Line	:	STE 370
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4900
Country	:	US
Telephone Number	:	719-477-0211
Fax Number	:	719-477-0501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	INGRID SHARON
Credential	:	MD
Telephone Number	:	719-477-0211

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	08/22/2020

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