Havasu Medical Care
NPI 1033109863ActiveOrganization· General Practice· Lake Havasu City, AZ
General Practice in Lake Havasu City, Arizona, registered in NPPES in October 2005. The authorized official on file is Mary Lou Callerame, M.D., M.D.
Overview
| NPI | 1033109863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Nov 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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