Healthcare Provider Details

I. General information

NPI: 1861224735
Provider Name (Legal Business Name): INSPIRE CENTER FOR DIGESTIVE HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CHESTNUT ST STE 500
NEEDHAM MA
02492-2428
US

IV. Provider business mailing address

21 ORCHARD
LAKE FOREST CA
92630-8300
US

V. Phone/Fax

Practice location:
  • Phone: 800-403-4234
  • Fax:
Mailing address:
  • Phone: 803-403-4234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY EDMOND VOGEL
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 800-403-4234