Organization Active NPI

Woman and Child Health, PC

  • Pediatrics Physician
  • Lake Havasu City, AZ
National Provider Identifier
1558371526
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AZ4026 Issued in AZ
Legal business name
WOMAN AND CHILD HEALTH, PC
Practice address
1851 Mesquite Ave
Suite 210
Lake Havasu City, AZ 86403-5677
Phone
(928) 854-8100
Fax
(928) 854-8182
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Derek D Kaznoski, M.D.
Title
President
Phone
(928) 854-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X AZ32330 AZ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X AZ4026 AZ Primary

Addresses

Primary practice location

1851 Mesquite Ave
Suite 210
Lake Havasu City, AZ 86403-5677

Mailing address

1851 Mesquite Ave
Suite 210
Lake Havasu City, AZ 86403-5677
Phone (928) 854-8100

Other identifiers 1

IdentifierTypeStateIssuer
212221MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1851 Mesquite Ave
Ste 210
Lk Havasu Cty, AZ 86403
Phone (928) 854-7540

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558371526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 210",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "928-854-8100",
            "fax_number": "928-854-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 210",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "928-854-8100",
            "fax_number": "928-854-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN AND CHILD HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KAZNOSKI",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-854-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "AZ32330",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "AZ4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212221",
            "state": "AZ"
        }
    ],
    "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 Sep 11, 2025; 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.