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SOUTHWEST SURGERY, LLC
NPI 1164550950
Specialist in Lake Havasu City, AZ

Active since March 01, 2007
1972 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(928) 854-6500(928) 854-6206 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Surgery, Llc NPPES

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

SOUTHWEST SURGERY, LLC (NPI 1164550950) is a healthcare organization registered as a specialist in Lake Havasu City, Arizona and active in the NPI registry since March 2007. The organization lists Carrie L Riesdorph, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164550950
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHWEST SURGERY, LLC
Location Address1972 MESQUITE AVELake Havasu City, AZ 86403-5729
Mailing Address1972 Mesquite AveLake Havasu City, AZ 86403-5729 · (928) 854-6500 · Fax (928) 854-6206
Phone(928) 854-6500
Fax(928) 854-6206
Organization SubpartNo
Authorized OfficialCarrie L RiesdorphOffice Manager · (928) 854-6500
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164550950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1972 MESQUITE AVE, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

HAVASU SURGICAL SPECIALISTS, PC
Specialist
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-6508
DR. ALBERT NICHOLAS RIZZO MD
Surgery
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-6500
DR. JAMES TSENG M.D.
Surgery
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (288) 546-5009
TERRENCE P GLEASON MD LLC
Specialist
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-6508
A NICHOLAS RIZZO MD A PLLC
Surgery
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-6508
PHILIP A ST RAYMOND MD PLLC
Urology
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-6500
ONE BRIDGE SURGICAL, PLLC
Surgery
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-6500

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 Surgery, LLC's NPI number?

The NPI number for Southwest Surgery, LLC is 1164550950. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Southwest Surgery, LLC located?

Southwest Surgery, LLC is located at 1972 Mesquite Ave, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-6500.

What is Southwest Surgery, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southwest Surgery, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.