Havasu Foot & Ankle Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0180 Issued in AZ

Legal business name

HAVASU FOOT & ANKLE CENTER

Practice address

90 Riviera Dr
Lake Havasu City, AZ 86403-5716

Phone

(928) 855-7800

Fax

(928) 855-5392

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Robert H Novack, DPM

Title

Medical Director

Phone

(928) 855-7800

Specialties & licenses 1

Addresses

Other names 1

• ROBERT H NOVACK, DPM Other name

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1164690335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035716",
            "telephone_number": "928-855-7800",
            "fax_number": "928-855-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035716",
            "telephone_number": "928-855-7800",
            "fax_number": "928-855-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "928-855-7800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "0180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT H NOVACK, DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Havasu Behavioral Health, LLC
• Havasu Cardiac Surgery PC
• Havasu Cardiac Surgery PLLC
• Havasu Dental Center PLLC
• Havasu Emergency Physicians, PC
• Havasu Foot & Ankle Center
• Havasu Health Care Pharm
• Havasu Lung and Sleep Disorders Center LLC
• Havasu Medical Care
• Havasu Medical Supply Inc.

• Durable Medical Equipment & Medical Supplies in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.