POWAR PAIN CLINIC (NPI# 1235327917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235327917 |
| Entity Type | Organization |
| Organization Name | POWAR PAIN CLINIC |
| Practice Address |
1775 Mcculloch Blvd N Lake Havasu City AZ 86403-6549 |
| Mailing Address |
1840 Mesquite Ave Suite B Lake Havasu City AZ 86403-5771 |
| Practice Telephone | 9284530696 |
| Practice Fax Number | 9284530816 |
| Mailing Telephone | 9284538500 |
| Mailing Fax Number | 9284533660 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | MANDEEP POWAR (OWNER) |
| Authorized Official Telephone | 9284530696 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
24843 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1775 MCCULLOCH BLVD N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646081 | Mandeep Powar | Specialist | 1775 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6549 | 2005-08-11 |
| 1447573621 | Jaidyn Med Care Ltd | Clinic/Center | 1775 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6549 | 2010-03-02 |
| 1467673293 | Havasu Regional Medical Center LLC | Clinic/Center | 1775 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6549 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447573621 | Jaidyn Med Care Ltd | Clinic/Center | 1775 Mcculloch Blvd N, Lake Havasu City, AZ 86403-6549 | 2010-03-02 |
| 1639405756 | Colorado River Pain Management LLC | Clinic/Center | 1951 Mesquite Ave, Suite I, Lake Havasu City, AZ 86403-5746 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717550 | Regenthetics, LLC | Clinic/Center | 903 E State Highway 260 Ste 4, Payson, AZ 85541-4972 | 2020-07-20 |
| 1336786003 | Guadalupe Pain Ventures LLC | Clinic/Center | 1450 W Guadalupe Rd Ste 24, Gilbert, AZ 85233-3042 | 2019-12-02 |
| 1376020685 | Andoloris Medical, Pllc | Clinic/Center | 3417 N 32nd St Ste B, Phoenix, AZ 85018-5606 | 2018-07-19 |
| 1427557255 | United Pain Institute, Inc | Clinic/Center | 4838 E Baseline Rd Ste 109, Mesa, AZ 85206-4671 | 2018-02-07 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1356879993 | Smith Chiropractic Pllc | Clinic/Center | 3200 S Rural Rd Ste 3, Tempe, AZ 85282-3870 | 2017-05-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1336506419 | Arizona Headache Center, Pllc | Clinic/Center | 8591 E Bell Rd Ste 100, Scottsdale, AZ 85260-1305 | 2016-01-21 |
| 1417322504 | Respira LLC | Clinic/Center | 1733 E Louis Way, Tempe, AZ 85284-1676 | 2015-12-01 |
| 1679906176 | Spine & Sports Rehabilitation Institute | Clinic/Center | 2600 E. Southern Ave., I-1, Tempe, AZ 85282-7738 | 2013-08-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.