Organization Active NPI

Inzerillo Family Practice, LLC

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1750498689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0516222 Issued in KS
Legal business name
INZERILLO FAMILY PRACTICE, LLC
Practice address
3320 Clinton Parkway CT
Suite 100
Lawrence, KS 66047-2629
Phone
(785) 749-0333
Fax
(785) 749-4559
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Francis Inzerillo
Title
Office Manager
Phone
(785) 749-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0516222 KS Primary

Addresses

Primary practice location

3320 Clinton Parkway CT
Suite 100
Lawrence, KS 66047-2629

Mailing address

3320 Clinton Parkway CT
Suite 100
Lawrence, KS 66047-2629
Phone (785) 749-0333

National Provider Directory

National Provider Directory

Locations

3320 Clinton Parkway Ct
Ste 100
Lawrence, KS 66047
Phone (785) 749-0333

3514A Clinton Pkwy
Lawrence, KS 66047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750498689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 CLINTON PARKWAY CT",
            "address_2": "SUITE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472629",
            "telephone_number": "785-749-0333",
            "fax_number": "785-749-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 CLINTON PARKWAY CT",
            "address_2": "SUITE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472629",
            "telephone_number": "785-749-0333",
            "fax_number": "785-749-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INZERILLO FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INZERILLO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-749-0333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0516222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.