DR. NICK RIZOS (NPI# 1508056946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508056946 |
Entity Type | Individual |
Full Name | DR. NICK RIZOS |
Credential | MD |
Practice Address |
1840 Mesquite Ave Ste H Lake Havasu City AZ 86403-5771 |
Practice Telephone | 9288558176 |
Practice Fax Number | 9288551995 |
Mailing Telephone | 9288558176 |
Mailing Fax Number | 9288551995 |
Enumeration Date | 2007-08-01 |
Last Update Date | 2012-03-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
14298 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE PRACTICE | 26731 | 01 |
AZ | 234154 | 05 | |
AZ | BCBS | 0059940 | 01 |
AZ | AETNA | 4524974 | 01 |
Street Address |
1840 MESQUITE AVE STE H |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-5771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689719817 | Havasu Women's Health Center PC | Specialist | 1840 Mesquite Ave Ste H, Lake Havasu City, AZ 86403-5771 | 2007-02-21 |
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 | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558371526 | Woman and Child Health, PC | Obstetrics & Gynecology | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5677 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720618374 | Denise Lynn Gallus | Obstetrics & Gynecology | 1000 Willow Creek Rd Ste E, Prescott, AZ 86301-1645 | 2020-01-23 |
1417471954 | Samuel R Blakesley | Obstetrics & Gynecology | 6522 E Carondelet Dr Ste A, Tucson, AZ 85710-2197 | 2017-07-26 |
1326493768 | Desert Princess Medical Grp | Obstetrics & Gynecology | 9377 E Bell Rd Ste 131, Scottsdale, AZ 85260-1503 | 2016-05-03 |
1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
1568889939 | Anthea Dixon Md Ltd | Obstetrics & Gynecology | 5190 E Farness Dr Ste 106, Tucson, AZ 85712-2142 | 2014-03-24 |
1205174729 | Scott Alan Rovner | Obstetrics & Gynecology | 7619 E Medlock Dr, Scottsdale, AZ 85250-7720 | 2013-01-17 |
1336486679 | Raul A Osorio Md PC | Obstetrics & Gynecology | 6242 E Arbor Ave Ste 118, Mesa, AZ 85206-1309 | 2013-01-07 |
1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
1750556338 | Judith C Scott | Obstetrics & Gynecology | 215 S Power Rd Ste 218, Mesa, AZ 85206-5238 | 2008-04-24 |
1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
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.