Havasu Women'S Health Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

14298 Issued in AZ

Legal business name

HAVASU WOMEN'S HEALTH CENTER PC

Practice address

1840 Mesquite Ave Ste H
Lake Havasu City, AZ 86403-5771

Phone

(928) 855-8176

Fax

(928) 855-1995

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nick Rizos, MD

Title

President

Phone

(928) 855-8176

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6101/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1689719817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MESQUITE AVE STE H",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035771",
            "telephone_number": "928-855-8176",
            "fax_number": "928-855-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MESQUITE AVE STE H",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035771",
            "telephone_number": "928-855-8176",
            "fax_number": "928-855-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU WOMEN'S HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "RIZOS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-855-8176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "14298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "0059940",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234154",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center, LLC
• Havasu Regional Medical Center, LLC
• Havasu Surgery Center
• Havasu Surgical Specialists, PC
• Haven of Lake Havasu, LLC
• Eli Asher Hawkins
• Pamela J Hawkins, RN BSN
• Christina Nicole Hayden, ARMRIT
• Healthcare Consulting of Arizona LLC

• Specialist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.