Healthcare Provider Details

I. General information

NPI: 1568389799
Provider Name (Legal Business Name): INPATIENT SPECIALISTS MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3202
US

IV. Provider business mailing address

4401 W MEMORIAL RD STE 121
OKLAHOMA CITY OK
73134-1722
US

V. Phone/Fax

Practice location:
  • Phone: 760-340-3911
  • Fax:
Mailing address:
  • Phone: 405-751-4664
  • Fax: 405-751-3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFRY GILL
Title or Position: CFO
Credential: MD
Phone: 760-625-9395