HRMC, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP8464 Issued in AZ

Legal business name

HRMC, LLC

Doing business as

Diabetes and Endocrine Center

Practice address

1851 Mesquite Ave
Suite 202
Lake Havasu City, AZ 86403-5677

Phone

(928) 854-0094

Fax

(928) 680-8986

NPI assigned

Mar 2, 2016

Last updated

Jun 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jess Judy

Title

VP

Phone

(928) 854-0094

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Diabetes and Endocrine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• HRMC, LLC

  dba Cancer Care of Western Arizona

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
  • NPI 1003139387

  O20100508000148

  Same enrollment
• HRMC, LLC

  dba Specialty Associates

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1447630538

  O20100508000148

  Same enrollment
• HRMC, LLC

  dba Mohave Infectious Disease & Internal Medicine

  • Infectious Disease Physician
  • Lake Havasu City, AZ
  • NPI 1487007498

  O20100508000148

  Same enrollment
• HRMC, LLC

  dba Urgent Care of HRMC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1932610482

  O20100508000148

  Same enrollment

Tax ID family

HRMC LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• HRMC, LLC

  dba Specialty Associates

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1447630538
  NPD tax ID
• HRMC, LLC

  dba Mohave Infectious Disease & Internal Medicine

  • Infectious Disease Physician
  • Lake Havasu City, AZ
  • NPI 1487007498
  NPD tax ID
• HRMC, LLC

  dba Urgent Care of HRMC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1932610482
  NPD tax ID

Locations

Practitioners 21

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.

• Roberto De Alba Cervera, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lake Havasu City, AZ
  • NPI 1215174024
  NPD
• Devin Matthew Cunning, M.D.

  • Otolaryngology Physician
  • Lake Havasu City, AZ
  • NPI 1629035944
  NPD
• Donald Joseph Green, MD

  • Specialist
  • Goodyear, AZ
  • NPI 1518980671
  NPD
• Diane Elizabeth Hindman, MD, PHARMD

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1447694450
  NPD
• Valerie Pratt Israel, D.O.

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
  • NPI 1497763775
  NPD
• Mary Ann Widman, FNP-C

  • Family Nurse Practitioner
  • Parker, AZ
  • NPI 1245428929
  NPD
• Gary Cecchi, M.D.

  • Hematology & Oncology Physician
  • Vancouver, WA
  • NPI 1861480857
  NPD
• Omar Mahmoud El-Sheikh, MD, MSC, FRCS

  • Trauma Surgery Physician
  • Panama City, FL
  • NPI 1760681225
  NPD
• Matthew Corbyons Ercolani, M.D.

  • Urology Physician
  • Venice, FL
  • NPI 1801059894
  NPD
• Christopher C Kwon, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Waco, TX
  • NPI 1225074867

  Multi-Specialty

  NPD
• Saranya Radhakrishnan, M.D.

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1912638339
  NPD
• Sam Sater, M.D

  • Medical Oncology Physician
  • Port Saint Lucie, FL
  • NPI 1619256377
  NPD

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466812800000",
    "number": "1891155974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "928-854-0094",
            "fax_number": "928-680-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "928-854-0094",
            "fax_number": "928-680-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-06-25",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "928-854-0094"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8464",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111026",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes and Endocrine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica R. Houston, DMD
• Rebecca Howe, M.A. CCC-SLP
• HRMC, LLC (Cancer Care of Western Arizona)
• HRMC, LLC (Specialty Associates)
• HRMC, LLC (Mohave Infectious Disease & Internal Medicine)
• HRMC, LLC (Urgent Care of HRMC)
• Daw Cheng Huang, LAC
• Olivia Rose Huard, LMSW
• Huffman Chiropractic, PLLC
• Paul Shannon Huffman, D.C.

• Nurse Practitioner in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.