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SOUTHWEST SURGERY, L.L.C.
NPI 1760568224
Specialist in Lake Havasu City, AZ

Active since October 27, 2006
1810 MESQUITE AVE, SUITE B, 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 09, 2026.

About Southwest Surgery, L.l.c. NPPES

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

SOUTHWEST SURGERY, L.L.C. (NPI 1760568224) is a healthcare organization registered as a specialist in Lake Havasu City, Arizona and active in the NPI registry since October 2006. The organization lists Carrie L. Riesdorph, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760568224
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHWEST SURGERY, L.L.C.
Location Address1810 MESQUITE AVE, SUITE BLake Havasu City, AZ 86403-5886
Mailing Address1810 Mesquite Ave, Suite BLake Havasu City, AZ 86403-5886 · (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 DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760568224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 31136
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.
1810 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 6

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

POWERS FAMILY PRACTICE PC
Preferred Provider Organization
1810 MESQUITE AVE, SUITE A
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-4224
TROYER URGENT CARE, INC.
Clinic/Center (Urgent Care)
1810 MESQUITE AVE, SUITE B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-4600
CHRIS ANN DIPAOLA
Nurse Practitioner (Family)
1810 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-4600
DR. TERRENCE PATRICK GLEASON M.D.
Specialist
1810 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-8515
CASSANDRA KAY KYER FNP
Nurse Practitioner (Family)
1810 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-4600
MR. DONALD EUGENE REEDER JR. PA-C
Physician Assistant (Medical)
1810 MESQUITE AVE, SUITE B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-4600

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, L.L.C.'s NPI number?

The NPI number for Southwest Surgery, L.L.C. is 1760568224. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Southwest Surgery, L.L.C. located?

Southwest Surgery, L.L.C. is located at 1810 Mesquite Ave Suite B, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-6500.

What is Southwest Surgery, L.L.C.'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, L.L.C. 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.