MD HEALTH, INC. (NPI# 1316267933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316267933 |
Entity Type | Organization |
Organization Name | MD HEALTH, INC. |
Other Organization Name | MD IMAGING |
Practice Address |
276 Lake Havasu Ave S #a-11 Lake Havasu City AZ 86403-0851 |
Mailing Address |
1990 Mcculloch Blvd N D-215 Lake Havasu City AZ 86403-5749 |
Practice Telephone | 9284530506 |
Practice Fax Number | 9284530508 |
Mailing Telephone | 7022276947 |
Enumeration Date | 2010-06-04 |
Last Update Date | 2011-07-28 |
Authorized Official Name | DR. ROBERT HAROLD INGHAM (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7022276947 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
37903 | AZ | Allopathic & Osteopathic Physicians |
Y | 2084D0003X |
Psychiatry & Neurology Specialization: Diagnostic Neuroimaging |
37903 | AZ | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
MD IMAGING | Doing Business As Name - Organization |
Street Address |
276 LAKE HAVASU AVE S #A-11 |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-0851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679889018 | Sara Rose Mitchem | Specialist/Technologist | 276 Lake Havasu Ave S, Ste A-11, Lake Havasu City, AZ 86403-0851 | 2010-08-23 |
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 | 2084D0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Diagnostic Neuroimaging |
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326574153 | Accuzone Diagnostics, LLC | Psychiatry & Neurology | 15508 W Bell Rd Ste 101, Pmb #412, Surprise, AZ 85374-2432 | 2017-05-11 |
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.