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NPI · 1063629087 · NPPES-sourced

Havasu Surgical Specialists, PC

ActiveSpecialist
NPI Number
1063629087
Type 2 · Organisation
Taxonomy Code
174400000X
Contact
(928) 854-6508
License AZ · 31136
Last Updated
Enumerated
Primary practice addressAZ · 86403-5729
1972 Mesquite AveLake Havasu City, AZ 86403-5729
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About this NPIWhat this record shows.

NPI 1063629087 is registered to Havasu Surgical Specialists, PC, a healthcare organisation classified as "Specialist" and located at 1972 Mesquite Ave in Lake Havasu City, Arizona. The organisation's authorised official is Carrie Riesdorph. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Havasu Surgical Specialists, PC accepts. To confirm in-network status with your specific health plan, contact Havasu Surgical Specialists, PC directly at (928) 854-6508.

Frequently asked

Yes. NPI 1063629087 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 854-6508.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Havasu Surgical Specialists, PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy174400000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Specialist providers in Arizona.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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