BURT FAIBISOFF, MD, PLLC
NPI 1336396761
Plastic Surgery in Lake Havasu City, AZ

Q: What is Burt Faibisoff, MD, PLLC's NPI number?

The NPI number for Burt Faibisoff, MD, PLLC is 1336396761. It was assigned to this organization in the NPPES registry on August 27, 2008.

Q: What is Burt Faibisoff, MD, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since August 27, 2008

2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403(928) 680-7707(928) 680-7773 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Burt Faibisoff, Md, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURT FAIBISOFF, MD, PLLC (NPI 1336396761) is a healthcare organization registered as a plastic surgery in Lake Havasu City, Arizona and active in the NPI registry since August 2008. The organization lists Burt I. Faibisoff, Member, as its authorized official.

NPPES Registry Identity

NPI1336396761

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameBURT FAIBISOFF, MD, PLLC

Location Address2035 MESQUITE AVE, SUITE ALake Havasu City, AZ 86403-5894

Mailing Address2035 Mesquite Ave, Suite ALake Havasu City, AZ 86403-5894 · (928) 680-7707 · Fax (928) 680-7773

Phone(928) 680-7707

Fax(928) 680-7773

Organization SubpartNo

Authorized OfficialBurt I. FaibisoffMember · (928) 680-7707

Enumeration DateAugust 27, 2008

✔ NPI 1336396761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in AZ · 13213

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2035 MESQUITE AVE, Lake Havasu City, AZ 86403

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Other Identifiers 1

Medicare UPINC99450

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MARIE MULDER MD

Family Medicine

2035 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 208-4598

OASIS MEDICAL GROUP, LLC

Family Medicine

2035 MESQUITE AVE, SUITE C
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 453-1101

MS. SARA CHRISTINA RUBIO AGACNP-BC

Nurse Practitioner (Gerontology)

2035 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 208-4598

CHRISTIAN L GRANDELL PA-C

Physician Assistant

2035 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 208-4598

YOUR HEALTH HOME PLLC

Internal Medicine

2035 MESQUITE AVE, SUITE C
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 680-3343

CHRISTINA MARIE ROZELLE FNP-C

Nurse Practitioner

2035 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 208-4598

JULIE M. MCGUIRE PA-C

Physician Assistant

2035 MESQUITE AVE, SUITE E
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 680-0090

ROBERT D PETERSON MD

Internal Medicine

2035 MESQUITE AVE, SUITE C
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 680-3343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burt Faibisoff, MD, PLLC's NPI number?

The NPI number for Burt Faibisoff, MD, PLLC is 1336396761. It was assigned to this organization in the NPPES registry on August 27, 2008.

Where is Burt Faibisoff, MD, PLLC located?

Burt Faibisoff, MD, PLLC is located at 2035 Mesquite Ave Suite A, Lake Havasu City, AZ 86403. The listed phone number is (928) 680-7707.

What is Burt Faibisoff, MD, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Burt Faibisoff, MD, PLLC was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.