PHOENIX OCULOPLASTIC CONSULTANTS, PLLC – NPI #1497009641
Plastic Surgery

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 is a plastic surgeon located in PHOENIX, AZ. NPPES has assigned the NPI number 1497009641 to PHOENIX OCULOPLASTIC CONSULTANTS, PLLC on November 08, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHOENIX OCULOPLASTIC CONSULTANTS, PLLC below.

NPI Profile for
PHOENIX OCULOPLASTIC CONSULTANTS, PLLC

NPI Number
1497009641
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHOENIX OCULOPLASTIC CONSULTANTS, PLLC
Primary location
3410 N 4TH AVE
PHOENIX, AZ 85013-3905
Phone: (602) 257-1499 Fax: (480) 361-3517
Mailing address
4340 E INDIAN SCHOOL RD
SUITE 21-440
PHOENIX, AZ 85018-5360
Phone: (602) 257-1498 Fax: (480) 361-3517
Organization Subpart
No
Authorized Official
MISHA FAUSTINA
MANAGER
Phone: (602) 257-1498
Updated
Identifiers

Identifiers for PHOENIX OCULOPLASTIC CONSULTANTS, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI1669438057
OTHERNPI1952570194
MEDICAIDAZ608730
MEDICAIDAZ868672
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary)
AZ 33016
207W00000X
- Ophthalmology
AZ 33016

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.