Active NPI
Eli Asher Hawkins
- Computed Tomography Radiologic Technologist
- Lake Havasu City, AZ
National Provider Identifier
1063952265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 15311
- Practice address
- 2820 Kiowa Blvd N Apt 102
Lake Havasu City, AZ 86404-1628 - Phone
- (928) 208-0236
- NPI assigned
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 15311 | AZ | Primary |
Addresses
Primary practice location
2820 Kiowa Blvd N Apt 102
Lake Havasu City, AZ 86404-1628
Mailing address
2820 Kiowa Blvd N Apt 102
Lake Havasu City, AZ 86404-1628
Phone (928) 208-0236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15311 | AZ | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1063952265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 KIOWA BLVD N APT 102",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864041628",
"telephone_number": "928-208-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 KIOWA BLVD N APT 102",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864041628",
"telephone_number": "928-208-0236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "ELI",
"middle_name": "ASHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "AZ",
"license": "15311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
- Havasu Regional Medical Center, LLC (Havasu Regional Medical Center)
- Havasu Surgery Center
- Havasu Surgical Specialists, PC
- Havasu Women's Health Center PC
- Haven of Lake Havasu, LLC (Haven of Lake Havasu)
- Pamela J Hawkins, RN BSN
- Christina Nicole Hayden, ARMRIT
- Healthcare Consulting of Arizona LLC
- Anna M Heaps, LCSW
- Hearing Healthcare of Havasu LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.