NPIMap

Organization Active NPI

Mohave Centre for Plastic Surgery

  • Specialist
  • Lake Havasu City, AZ
National Provider Identifier
1669641387
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27481 Issued in AZ
Legal business name
MOHAVE CENTRE FOR PLASTIC SURGERY
Practice address
2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone
(928) 854-5400
Fax
(928) 854-5401
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Warren Tracy Hankins, MDNPI 1881648293
Title
Owner
Phone
(928) 854-5400

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27481 AZ Primary

Addresses

Primary practice location

2010 Injo Dr
Lake Havasu City, AZ 86403-5707

Mailing address

2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone (928) 854-5400

Other names 1

  • MCPS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1669641387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-854-5400",
            "fax_number": "928-854-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-854-5400",
            "fax_number": "928-854-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE CENTRE FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-854-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "27481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 27, 2008; 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.