Healthcare Provider Details

I. General information

NPI: 1578083945
Provider Name (Legal Business Name): INSPIRA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 S COLT DR
GILBERT AZ
85296-7343
US

IV. Provider business mailing address

9700 N. 91ST ST. STE A-115
TEMPE AZ
85281-9126
US

V. Phone/Fax

Practice location:
  • Phone: 480-766-6630
  • Fax: 480-907-1691
Mailing address:
  • Phone: 480-766-6630
  • Fax: 480-907-1691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA180200
License Number StateOR

VIII. Authorized Official

Name: MR. PATRICK MICHAEL HINES
Title or Position: PRESIDENT/CEO
Credential: PA-C
Phone: 480-766-6630