OrganizationActive
Havasu Foot & Ankle Center
NPI 1174582829 · Ambulatory Surgical Clinic/Center · Lake Havasu City, AZ
Provider details
- NPI number
- 1174582829
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Novack, Office Manager(928) 855-7800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Phone: (928) 855-7800
Fax: (928) 855-5392
Street-level locationGet directions
Mailing address
90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Other names (DBA / former)
- Other name
- Havasu Foot & Ankle Surgicenter
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.