Jack R. Inyart, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15120 Issued in WI

Practice address

610 E Longview Dr Ste a
Appleton, WI 54911-2165

Phone

(920) 246-1555

Fax

(920) 743-9982

NPI assigned

Jul 1, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1629230651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 20TH PL",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351013",
            "telephone_number": "920-246-1555",
            "fax_number": "920-743-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112165",
            "telephone_number": "920-246-1555",
            "fax_number": "920-743-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INYART",
        "first_name": "JACK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "15120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Behavioral Health Solutions, LLC
• Insight Eye Care, LLC (Appleton Eye Clinic, LLC)
• Integrated Care and Cleaning Services
• Integrity Counseling, LLC
• Interra Health Inc. (Life Wellness Center - Appleton)
• Michelle Lynn Irish, LCSW,CSAC
• Shaun Irish, MD
• Tiarra Irish
• Chelsea Irwin, DPT
• Michael Izzo, LCSW, LAC

• General Practice Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.