Smith Tryon Family Health Inc D.B.A. Blue Water Medical
NPI 1336104462ActiveOrganization· Family Medicine· Lake Havasu City, AZ
Family Medicine in Lake Havasu City, Arizona, registered in NPPES in April 2006. The authorized official on file is Elizabeth Anne Smith Tryon, MD, President.
Overview
| NPI | 1336104462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Sep 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35026 | AZ |
| Internal Medicine | 207R00000X | 35026 | AZ |
| General Practice | 208D00000X | 2768 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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