Organization Active NPI

MD Health, Inc.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Lake Havasu City, AZ
National Provider Identifier
1316267933
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
37903 Issued in AZ
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

Updated by the provider on Jul 28, 2011

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)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084D0003X 37903 AZ Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.