Lake Havasu OB-GYN Care LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

37930 Issued in AZ

Legal business name

LAKE HAVASU OB-GYN CARE LLC

Practice address

2130 Mesquite Ave Unit 100
Lake Havasu City, AZ 86403-6897

Phone

(928) 302-5100

Fax

(928) 302-5103

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Kevin Hooker, MDNPI 1477764595

Title

Owner

Phone

(928) 302-5100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin James Hooker, MD

  • Obstetrics Physician
  • Lake Havasu City, AZ
  • NPI 1477764595

  Obstetrics & Gynecology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1649615899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MESQUITE AVE UNIT 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036897",
            "telephone_number": "928-302-5100",
            "fax_number": "928-302-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MESQUITE AVE UNIT 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036897",
            "telephone_number": "928-302-5100",
            "fax_number": "928-302-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HAVASU OB-GYN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-302-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.