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PHOENIX OCULOPLASTIC CONSULTANTS PLLC NPI 1497009641


NPI Information

NPI: 1497009641
Provider Name: PHOENIX OCULOPLASTIC CONSULTANTS, PLLC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
3410 N 4TH AVE
PHOENIX, AZ
ZIP 85013
Phone: (602) 257-1499
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PHOENIX OCULOPLASTIC CONSULTANTS, PLLC is a plastic surgery within the head and neck plastic surgery in Phoenix, AZ. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. PHOENIX OCULOPLASTIC CONSULTANTS, PLLC NPI is 1497009641. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3410 N 4TH AVE
PHOENIX, AZ
ZIP 85013-905
Phone: (602) 257-1499
Fax: (480) 361-3517

The provider's authorized official is Misha Faustina .
The authorized official title is Manager and has the following contact phone number (602) 257-1498.

The enumeration date for this NPI number is 11/8/2012 and was last updated on 11/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology33016ARIZONANo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck33016ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669438057OTHERNPI
21952570194OTHERNPI
3HN95797MEDICARE UPIN
4868672MEDICAIDARIZONA
5608730MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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