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LAKE HAVASU OB/GYN, PC
NPI 1598944811
Clinic/Center - Medical Specialty in Lake Havasu City, AZ

Active since November 02, 2007
99 RIVIERA DR, LAKE HAVASU CITY, AZ 86403(928) 680-2846(928) 680-2845 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lake Havasu Ob/gyn, Pc NPPES

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

LAKE HAVASU OB/GYN, PC (NPI 1598944811) is a healthcare organization registered as a medical specialty in Lake Havasu City, Arizona and active in the NPI registry since November 2007. The organization lists Mary Jo Vita Urso, Owner, as its authorized official.

NPPES Registry Identity

NPI1598944811
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLAKE HAVASU OB/GYN, PC
Location Address99 RIVIERA DRLake Havasu City, AZ 86403-5713
Mailing Address99 Riviera DrLake Havasu City, AZ 86403-5713 · (928) 680-2846 · Fax (928) 680-2845
Phone(928) 680-2846
Fax(928) 680-2845
Organization SubpartNo
Authorized OfficialMary Jo Vita UrsoOwner · (928) 680-2846
Enumeration DateNovember 2, 2007
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1598944811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Licenses✔ Licensed in AZ · 3696✔ Licensed in CA · 20A8265
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
99 RIVIERA DR, Lake Havasu City, AZ 86403
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Other Identifiers 3

Medicare PINZ77612AZ
Medicare UPINH51127AZ
Medicaid434157AZ

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.

PRIMA MEDICAL CARE LLC
General Practice
99 RIVIERA DR
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 302-3798
EDWARD J. QUINN, M.D.
Specialist
99 RIVIERA DR
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-5090

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 Lake Havasu Ob/Gyn, PC's NPI number?

The NPI number for Lake Havasu Ob/Gyn, PC is 1598944811. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Lake Havasu Ob/Gyn, PC located?

Lake Havasu Ob/Gyn, PC is located at 99 Riviera Dr, Lake Havasu City, AZ 86403. The listed phone number is (928) 680-2846.

What is Lake Havasu Ob/Gyn, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lake Havasu Ob/Gyn, PC was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.