CHAD EDWARD HARTLEY (NPI# 1457513749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457513749 |
| Entity Type | Individual |
| Full Name | CHAD EDWARD HARTLEY |
| Credential | MD |
| Practice Address |
72 Lake Havasu Ave S Ste 102 Lake Havasu City AZ 86403-0857 |
| Practice Telephone | 9284532211 |
| Practice Fax Number | 9284532213 |
| Mailing Telephone | 9284532211 |
| Mailing Fax Number | 9284532219 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 46605 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13677 W Mcdowell Rd, Goodyear, AZ 853952635 | 9284532211 | 9284532219 |
| Street Address |
72 LAKE HAVASU AVE S STE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-0857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235192774 | Edward Willard Bradshaw IIi | Physician Assistant | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 | 2006-04-07 |
| 1457622763 | Panacea Brain and Spine, LLC | Neurological Surgery | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 | 2012-01-18 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013281740 | Western Regional Neurology, LLC | Neurological Surgery | 2005 Injo Dr, Suite 103, Lake Havasu City, AZ 86403-5874 | 2012-02-27 |
| 1982675104 | Richard J Teff | Neurological Surgery | 1851 Mesquite Ave Ste 116, Lake Havasu City, AZ 86403-5680 | 2006-01-27 |
| 1275098436 | Teff Associates Plc | Neurological Surgery | 1851 Mesquite Ave Ste 116, Lake Havasu City, AZ 86403-5680 | 2019-02-01 |
| 1457622763 | Panacea Brain and Spine, LLC | Neurological Surgery | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016471 | Mahmood Hassan | Neurological Surgery | 3935 E Fort Lowell Rd, Tucson, AZ 85712-1009 | 2020-03-03 |
| 1215585435 | Valley Neuromonitoring Plc | Neurological Surgery | 15547 N Reems Rd Ste A, Surprise, AZ 85374-9583 | 2019-08-30 |
| 1326692005 | Sana Vitae Surgeons LLC | Neurological Surgery | 3900 E Camelback Rd Ste 195, Phoenix, AZ 85018-2614 | 2019-07-30 |
| 1558896720 | Cushing Neurosurgery & Spine Pllc | Neurological Surgery | 1530 E Captain Dreyfus Ave, Phoenix, AZ 85022-4931 | 2017-04-25 |
| 1689052664 | Leonardo B C Brasiliense | Neurological Surgery | 1501 N Campbell Ave Rm 4303, Tucson, AZ 85724-0001 | 2015-05-11 |
| 1083045637 | Coaxial Neurosurgical Specialists, Plc | Neurological Surgery | 9200 N Central Ave, Suite #3, Phoenix, AZ 85020-2463 | 2013-12-09 |
| 1144582248 | Whitney Allison Sheen James | Neurological Surgery | 3191 Stillwater Dr Ste B, Prescott, AZ 86305-7145 | 2012-06-13 |
| 1043577901 | Erik I Curtis | Neurological Surgery | 2222 E Highland Ave Ste 222, Phoenix, AZ 85016 | 2012-04-17 |
| 1578855524 | Colin Campbell Mcdonald | Neurological Surgery | 15426 W Echo Canyon Dr, Surprise, AZ 85374-2076 | 2011-05-10 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 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.