Active NPI
Blue Water Internal Medicine Associates P C
- Bone Densitometry Radiologic Technologist
- Fort Mohave, AZ
National Provider Identifier
1801124656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Bone Densitometry Radiologic Technologist
- License
- 25652
- Legal business name
- BLUE WATER INTERNAL MEDICINE ASSOCIATES P C
- Practice address
- 5263 S Highway 95
Suite 101
Fort Mohave, AZ 86426-9223 - Phone
- (928) 453-8100
- NPI assigned
- Dec 4, 2009
- Last updated
- Jun 18, 2010
- Organization subpart
- Yes
- Parent organization
- BLUE WATER INTERNAL MEDICINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian N Sabowitz, M.D.
- Title
- Doctor
- Phone
- (928) 453-6963
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 |
|---|---|---|---|---|
| Bone Densitometry Radiologic Technologist | 2471B0102X | 25652 | AZ | Primary |
Addresses
Primary practice location
5263 S Highway 95
Suite 101
Fort Mohave, AZ 86426-9223
Mailing address
PO Box 2760
Lake Havasu City, AZ 86405-2760
Phone (928) 453-6963
National Provider Directory
National Provider Directory- Part of
- Blue Water Int Med Assoc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Spokane Valley, WA
- NPI 1629025895
-
- Family Nurse Practitioner
- Lake Havasu City, AZ
- NPI 1083702716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276819200000",
"number": "1801124656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2760",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864052760",
"telephone_number": "928-453-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5263 S HIGHWAY 95",
"address_2": "SUITE 101",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269223",
"telephone_number": "928-453-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE WATER INTERNAL MEDICINE ASSOCIATES P C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLUE WATER INTERNAL MEDICINE",
"enumeration_date": "2009-12-04",
"last_updated": "2010-06-18",
"status": "A",
"authorized_official_last_name": "SABOWITZ",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "928-453-6963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2471B0102X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Bone Densitometry",
"state": "AZ",
"license": "25652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mohave, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.