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SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS
NPI 1093348096
Otolaryngology in Lake Havasu City, AZ

Active since February 18, 2020
1760 MCCULLOCH BLVD N STE 100, LAKE HAVASU CITY, AZ 86403(928) 854-5368(928) 854-4462 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Ear, Nose, & Throat Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS (NPI 1093348096) is a healthcare organization registered as an otolaryngology in Lake Havasu City, Arizona and active in the NPI registry since February 2020. The organization lists Adrienne Adair Prater, Manager, as its authorized official.

NPPES Registry Identity

NPI1093348096
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHWEST EAR, NOSE, & THROAT SPECIALISTS
Location Address1760 MCCULLOCH BLVD N STE 100Lake Havasu City, AZ 86403-6559
Mailing Address2331 Hogan LnLake Havasu City, AZ 86406-8242 · (928) 486-3934 · Fax (928) 854-4462
Phone(928) 854-5368
Fax(928) 854-4462
Organization SubpartNo
Authorized OfficialAdrienne Adair PraterManager · (928) 486-3934
Enumeration DateFebruary 18, 2020
✔ NPI 1093348096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1760 MCCULLOCH BLVD N STE 100, Lake Havasu City, AZ 86403
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Other Identifiers 1

Medicaid515877AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TONI BAILEY HIS
Hearing Instrument Specialist
1760 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5368
MRS. MELISSA CHRISTINE FUNK HIS
Hearing Instrument Specialist
1760 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Ear, Nose, & Throat Specialists's NPI number?

The NPI number for Southwest Ear, Nose, & Throat Specialists is 1093348096. It was assigned to this organization in the NPPES registry on February 18, 2020.

Where is Southwest Ear, Nose, & Throat Specialists located?

Southwest Ear, Nose, & Throat Specialists is located at 1760 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-5368.

What is Southwest Ear, Nose, & Throat Specialists's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Southwest Ear, Nose, & Throat Specialists was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.