Active NPI
MD Health, Inc.
- Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
- Lake Havasu City, AZ
National Provider Identifier
1316267933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
- License
- 37903
- Legal business name
- MD HEALTH, INC.
- Practice address
- 276 Lake Havasu Ave S
#A-11
Lake Havasu City, AZ 86403-0851 - Phone
- (928) 453-0506
- Fax
- (928) 453-0508
- NPI assigned
- Jun 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Harold Ingham, MD
- Title
- Medical Director
- Phone
- (702) 227-6947
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | 37903 | AZ | Primary |
| Neurology Physician | 2084N0400X | 37903 | AZ |
Addresses
Primary practice location
276 Lake Havasu Ave S
#A-11
Lake Havasu City, AZ 86403-0851
Mailing address
1990 McCulloch Blvd N
D-215
Lake Havasu City, AZ 86403-5749
Phone (702) 227-6947
Other names 1
- MD IMAGING
National Provider Directory
National Provider DirectoryLocations
1990 McCulloch Blvd N
#D215
Lake Havasu City, AZ 86403
276 Lake Havasu Ave S
Ste A11
Lk Havasu Cty, AZ 86403
Phone (928) 453-0506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311811200000",
"number": "1316267933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 MCCULLOCH BLVD N",
"address_2": "D-215",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035749",
"telephone_number": "702-227-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 LAKE HAVASU AVE S",
"address_2": "#A-11",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864030851",
"telephone_number": "928-453-0506",
"fax_number": "928-453-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2011-07-28",
"status": "A",
"authorized_official_last_name": "INGHAM",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-227-6947",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "AZ",
"license": "37903",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "37903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MD IMAGING",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.