Arizona Coast Ear, Nose & Throat, LTD.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ARIZONA COAST EAR, NOSE & THROAT, LTD.

Practice address

1760 McCulloch Blvd N
Ste. 100
Lake Havasu City, AZ 86403-6559

Phone

(928) 854-5368

Fax

(928) 854-4462

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Erin C Cunning

Title

Practice Manager

Phone

(928) 854-5368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

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.

• Devin Matthew Cunning, M.D.

  • Otolaryngology Physician
  • Lake Havasu City, AZ
  • NPI 1629035944
  Medicare reassignment Care Compare group NPD
• Lisa J Gibbs, M.A., CCC-A

  • Audiologist
  • Lake Havasu City, AZ
  • NPI 1497926356
  Medicare reassignment Care Compare group NPD
• Nikola Marie Neill, FNP-C

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1043662356
  Medicare reassignment Care Compare group NPD
• Melaina Zanele Blomenkamp, PA-C

  • Medical Physician Assistant
  • Kingman, AZ
  • NPI 1780605048
  Medicare reassignment Care Compare group
• Julie M. McGuire, PA-C

  • Physician Assistant
  • Lake Havasu City, AZ
  • NPI 1730296088
  Medicare reassignment Care Compare group
• Michael Edward Prater, M.D.

  • Otolaryngology Physician
  • Lake Havasu City, AZ
  • NPI 1598723173
  Medicare reassignment NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1467583898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N",
            "address_2": "STE. 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N",
            "address_2": "STE. 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COAST EAR, NOSE & THROAT, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "CUNNING",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "928-854-5368"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis J Aramini, CPNP
• Ares Anesthesiology, PC
• Amelia Arevalo, M.D.
• Arizona Arthritis & Rheumatology Associates P C
• Arizona Care Transport
• Arizona Coast Radiology, PLLC
• Arizona Coast Wide Open MRI, PLLC
• Arizona CVS Stores
• Arizona CVS Stores LLC (CVS Pharmacy 07022)
• Arizona Dental Professionals, P.C. (Lakeview Family Dental)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.