NPIMap

Organization Active NPI

Dr Tracy Hankins MD PC

  • Plastic and Reconstructive Surgery Physician
  • Lake Havasu City, AZ
National Provider Identifier
1053698027
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
27481 Issued in AZ
Legal business name
DR TRACY HANKINS MD PC
Practice address
2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone
(928) 854-5400
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Tracy Hankins, MD
Title
Owner
Phone
(928) 854-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 27481 AZ Primary

Addresses

Primary practice location

2010 Injo Dr
Lake Havasu City, AZ 86403-5707

Mailing address

2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone (928) 854-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1053698027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-854-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-854-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TRACY HANKINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-854-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "27481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.