Active NPI
HRMC, LLC
Doing business as Mohave Infectious Disease & Internal Medicine
- Infectious Disease Physician
- Lake Havasu City, AZ
National Provider Identifier
1487007498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 3173
- Legal business name
- HRMC, LLC
- Doing business as
- Mohave Infectious Disease & Internal Medicine
- Practice address
- 1840 Mesquite Ave
Suite G
Lake Havasu City, AZ 86403-5771 - Phone
- (928) 854-1242
- Fax
- (928) 854-1243
- NPI assigned
- Jul 14, 2016
- Last updated
- Jul 14, 2016
- 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
- Jess Judy
- Title
- Senior VP
- Phone
- (928) 854-1242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 3173 | AZ | Primary |
Addresses
Primary practice location
1840 Mesquite Ave
Suite G
Lake Havasu City, AZ 86403-5771
Mailing address
1840 Mesquite Ave
Suite G
Lake Havasu City, AZ 86403-5771
Phone (928) 854-1242
Other names 1
- Mohave Infectious Disease & Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100508000148 | AZ | Part B Supplier - Clinic/Group Practice | 3072641265 |
Receives reassigned benefits from 71 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Havasu City, AZ; Fort Mohave, AZ |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Cancer Care of Western Arizona
- Hematology & Oncology Physician
- Lake Havasu City, AZ
- NPI 1003139387
O20100508000148
-
dba Specialty Associates
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1447630538
O20100508000148
-
dba Diabetes and Endocrine Center
- Nurse Practitioner
- Lake Havasu City, AZ
- NPI 1891155974
O20100508000148
-
dba Urgent Care of HRMC
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1932610482
O20100508000148
National Provider Directory
National Provider Directory- Tax ID family
- HRMC LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1760 McCulloch Blvd N
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 854-5368
Practitioners & affiliated clinicians
Practitioners 16
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.
-
- Medical Physician Assistant
- Kingman, AZ
- NPI 1780605048
-
- Physician Assistant
- Bullhead City, AZ
- NPI 1033118849
-
- Pulmonary Disease Physician
- Lake Havasu City, AZ
- NPI 1497744577
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1477539302
-
- Surgery Physician
- Mesa, AZ
- NPI 1023088531
-
- Acute Care Nurse Practitioner
- Phoenix, AZ
- NPI 1548278443
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1407117039
-
- Family Nurse Practitioner
- Kingman, AZ
- NPI 1477143865
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1386095743
-
- Physician Assistant
- Lake Havasu City, AZ
- NPI 1730296088
-
- Pain Medicine Physician
- Lake Havasu City, AZ
- NPI 1386646081
-
- Hematology & Oncology Physician
- Phoenix, AZ
- NPI 1831115385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468454400000",
"number": "1487007498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 MESQUITE AVE",
"address_2": "SUITE G",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035771",
"telephone_number": "928-854-1242",
"fax_number": "928-854-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 MESQUITE AVE",
"address_2": "SUITE G",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035771",
"telephone_number": "928-854-1242",
"fax_number": "928-854-1243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HRMC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-14",
"last_updated": "2016-07-14",
"status": "A",
"authorized_official_last_name": "JUDY",
"authorized_official_first_name": "JESS",
"authorized_official_title_or_position": "SENIOR VP",
"authorized_official_telephone_number": "928-854-1242"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "AZ",
"license": "3173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mohave Infectious Disease & Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Havasu City, AZ
- House on the Riviera Assisted Living
- Erica R. Houston, DMD
- Rebecca Howe, M.A. CCC-SLP
- HRMC, LLC (Cancer Care of Western Arizona)
- HRMC, LLC (Specialty Associates)
- HRMC, LLC (Diabetes and Endocrine Center)
- HRMC, LLC (Urgent Care of HRMC)
- Daw Cheng Huang, LAC
- Olivia Rose Huard, LMSW
- Huffman Chiropractic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.