Smith Tryon Family Health Inc D.B.a. Blue Water Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35026 Issued in AZ

Legal business name

SMITH TRYON FAMILY HEALTH INC D.B.A. BLUE WATER MEDICAL

Practice address

1801 Mesquite Ave
Lake Havasu City, AZ 86403-5664

Phone

(928) 453-6963

Fax

(928) 453-7015

NPI assigned

Apr 20, 2006

Last updated

Sep 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Anne Smith Tryon, MDNPI 1700864436

Title

President

Phone

(928) 453-6963

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Anne Smith-Tryon, MD

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1700864436
  NPD (past) Authorized official
• Donovan Schmidt, DO

  • Emergency Medicine Physician
  • Kingman, AZ
  • NPI 1497713416
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1336104462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 MCCULLOCH BLVD N",
            "address_2": "SUITE D, BOX 379D",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035749",
            "telephone_number": "928-453-6963",
            "fax_number": "928-453-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035664",
            "telephone_number": "928-453-6963",
            "fax_number": "928-453-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH TRYON FAMILY HEALTH INC D.B.A. BLUE WATER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "SMITH TRYON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-453-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "35026",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35026",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "2768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply HH&K LLC (PurTone Hearing Center)
• Tiarra Sitzer, APRN FNP-C, FNP-BC
• Kara Susan Skowera
• Sleep Disorders Center of Prescott Valley LLC
• Sleep Resource Consulting Service LLC
• Elizabeth Anne Smith-Tryon, MD
• Elizabeth A Smith, COTA
• Joy L. Smith
• Ronald Glenn Smith, PH.D.
• Sarah Beatrice Smith

• Family Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.