Organization
INSPIRIS OF NEW YORK IPA, INC.
Active
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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