PANACEA BRAIN AND SPINE, LLC
NPI 1457622763
Neurological Surgery in Lake Havasu City, AZ

Active since January 18, 2012
72 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403(928) 453-2211(928) 453-2213 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2020, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

About Panacea Brain And Spine, Llc NPPES

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

PANACEA BRAIN AND SPINE, LLC (NPI 1457622763) is a healthcare organization registered as a neurological surgery in Lake Havasu City, Arizona and active in the NPI registry since January 2012. The organization maintains 2 additional practice locations and lists Chad Hartley, Owner, as its authorized official.

NPPES Registry Identity

NPI1457622763
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePANACEA BRAIN AND SPINE, LLC
Location Address72 LAKE HAVASU AVE S STE 102Lake Havasu City, AZ 86403-0857
Mailing Address72 Lake Havasu Ave S Ste 102Lake Havasu City, AZ 86403-0857 · (928) 453-2211 · Fax (928) 453-2219
Fax(928) 453-2213
Organization SubpartNo
Authorized OfficialChad HartleyOwner · (720) 883-1593
Enumeration DateJanuary 18, 2012
Last NPPES UpdateJune 29, 20203 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1457622763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in AZ · 46605
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
72 LAKE HAVASU AVE S STE 102, Lake Havasu City, AZ 86403

Secondary Practice Locations 2

Location 11200 W Mohave RdParker, AZ 85344-6349 · Phone (928) 453-2211 · Fax (928) 453-2219
Location 213677 W McDowell RdGoodyear, AZ 85395-2635 · Phone (928) 453-2211 · Fax (928) 453-2219

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 3

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

Physician Assistant (Surgical)
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403
Neurological Surgery
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403
Neurological Surgery
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403

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 Panacea Brain And Spine, LLC's NPI number?

The NPI number for Panacea Brain And Spine, LLC is 1457622763. It was assigned to this organization in the NPPES registry on January 18, 2012.

Where is Panacea Brain And Spine, LLC located?

Panacea Brain And Spine, LLC is located at 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-2211.

What is Panacea Brain And Spine, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Panacea Brain And Spine, LLC was last updated on June 29, 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.