Havasu Foot & Ankle Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

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

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Barbara Novack, RN

Title

Office Manager

Phone

(928) 855-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Havasu Foot & Ankle Surgicenter Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert H Novack, DPM

  • Podiatrist
  • Lake Havasu City, AZ
  • NPI 1386614923
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1174582829",
    "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": "2006-03-21",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-855-7800",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH MEDICARE RR",
            "identifier": "490002545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havasu Foot & Ankle Surgicenter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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.
• Havasu Neurological Center PLLC

• Ambulatory Surgical Clinic/Center in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Ambulatory Surgical Clinic/Center 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.