Organization
INSPIRIS OF NEW YORK IPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O. ENDERLE (SR. VICE PRESIDENT)
(860) 221-0793
Entity
Organization
Contact information
Practice address
11020 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(615) 224-5440
Mailing address
11020 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(615) 224-5440
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
06/16/2015
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