Active NPI
A Nicholas Rizzo MD a PLLC
- Surgery Physician
- Lake Havasu City, AZ
National Provider Identifier
1497957260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- A NICHOLAS RIZZO MD A PLLC
- Practice address
- 1972 Mesquite Ave
Lake Havasu City, AZ 86403-5729 - Phone
- (928) 854-6508
- Fax
- (928) 854-6206
- NPI assigned
- Jun 4, 2007
- 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. Albert Nicholas Rizzo, MD
- Title
- President
- Phone
- (928) 486-0818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1972 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Mailing address
PO Box 785
Lake Havasu City, AZ 86405-0785
Phone (928) 854-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1771 McCulloch Blvd N
Ste A
Lk Havasu Cty, AZ 86403
Phone (928) 855-4139
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715817600000",
"number": "1497957260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864050785",
"telephone_number": "928-854-6500",
"fax_number": "928-854-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 MESQUITE AVE",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035729",
"telephone_number": "928-854-6508",
"fax_number": "928-854-6206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A NICHOLAS RIZZO MD A PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "RIZZO",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-486-0818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 16, 2024; 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.