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PHOENIX OCULOPLASTIC CONSULTANTS, PLLC
NPI 1497009641
Plastic Surgery - Plastic Surgery Within the Head and Neck in Phoenix, AZ

Active since November 08, 2012
3410 N 4TH AVE, PHOENIX, AZ 85013(602) 257-1499(480) 361-3517 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Oculoplastic Consultants, Pllc NPPES

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

PHOENIX OCULOPLASTIC CONSULTANTS, PLLC (NPI 1497009641) is a healthcare organization registered as a plastic surgery within the head and neck in Phoenix, Arizona and active in the NPI registry since November 2012. The organization lists Misha Faustina, Manager, as its authorized official.

NPPES Registry Identity

NPI1497009641
Entity TypeOrganization
Primary Taxonomy2082S0099X
Legal Business NamePHOENIX OCULOPLASTIC CONSULTANTS, PLLC
Location Address3410 N 4TH AVEPhoenix, AZ 85013-3905
Mailing Address4340 E Indian School Rd, Suite 21-440Phoenix, AZ 85018-5360 · (602) 257-1498 · Fax (480) 361-3517
Phone(602) 257-1499
Fax(480) 361-3517
Organization SubpartNo
Authorized OfficialMisha FaustinaManager · (602) 257-1498
Enumeration DateNovember 8, 2012
✔ NPI 1497009641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in AZ · 33016
Definition
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.
Also ListedOphthalmologyTaxonomy 207W00000X · License 33016 (AZ)
3410 N 4TH AVE, Phoenix, AZ 85013
Open in Google Maps ↗

Other Identifiers 5

Other1669438057Npi
Other1952570194Npi
Medicare UPINHN95797
Medicaid868672AZ
Medicaid608730AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MRS. LINDSEY PURCELLEY FNP-C
Nurse Practitioner (Family)
3410 N 4TH AVE
PHOENIX, AZ 85013
Maricopa County (602) 358-8588
DR. MICHELLE M PARK MD
Internal Medicine
3410 N 4TH AVE
PHOENIX, AZ 85013
Maricopa County (602) 241-1944
DR. FRANKLIN D LOFFER MD
Obstetrics & Gynecology (Gynecology)
3410 N 4TH AVE
PHOENIX, AZ 85013
Maricopa County (602) 241-1944

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 Phoenix Oculoplastic Consultants, PLLC's NPI number?

The NPI number for Phoenix Oculoplastic Consultants, PLLC is 1497009641. It was assigned to this organization in the NPPES registry on November 8, 2012.

Where is Phoenix Oculoplastic Consultants, PLLC located?

Phoenix Oculoplastic Consultants, PLLC is located at 3410 N 4th Ave, Phoenix, AZ 85013. The listed phone number is (602) 257-1499.

What is Phoenix Oculoplastic Consultants, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

When was this NPI record last updated?

The NPPES record for Phoenix Oculoplastic Consultants, PLLC was last updated on November 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.