Havasu Neurological Center PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

HAVASU NEUROLOGICAL CENTER PLLC

Practice address

297 Lake Havasu Ave S
Suite 106
Lake Havasu City, AZ 86403-6526

Phone

(928) 680-4040

Fax

(928) 680-4484

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Maame A Dankwah-Quansah, M.D.

Title

Owner/Member

Phone

(928) 680-4040

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1063849388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S",
            "address_2": "SUITE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-680-4040",
            "fax_number": "928-680-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S",
            "address_2": "SUITE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-680-4040",
            "fax_number": "928-680-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU NEUROLOGICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "DANKWAH-QUANSAH",
        "authorized_official_first_name": "MAAME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "928-680-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "P-1875159-0",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872509",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Havasu Foot & Ankle Center
• Havasu Health Care Pharm
• Havasu Lung and Sleep Disorders Center LLC
• Havasu Medical Care
• Havasu Medical Supply Inc.
• Havasu Nursing Center 2 Inc
• Havasu Physical Therapy
• Havasu Primary Care, LTD.
• Havasu Rainbow Pediatrics
• Havasu Rainbow Pediatrics and Associates PLLC

• Neurology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.