Organization Active NPI

Misha Faustina, M.D. PC

Doing business as mishafaustinamd

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1952570194
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33016 Issued in AZ
Legal business name
MISHA FAUSTINA, M.D. PC
Doing business as
mishafaustinamd
Practice address
1010Emcdowellrd
#406
Phoenix, AZ 85006-2610
Phone
(602) 257-1499
Fax
(602) 253-7201
NPI assigned
Feb 21, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Misha Faustina, MD
Title
Owner/Surgeon
Phone
(602) 257-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 33016 AZ Primary

Addresses

Primary practice location

1010Emcdowellrd
#406
Phoenix, AZ 85006-2610

Mailing address

1010Emcdowellrd
406
Phoenix, AZ 85006-2610
Phone (602) 257-1499

Other names 1

  • mishafaustinamd Doing business as

National Provider Directory

National Provider Directory

Locations

1010 E McDowell Rd
Ste 406
Phoenix, AZ 85006
Phone (602) 257-1499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1952570194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010EMCDOWELLRD",
            "address_2": "406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062610",
            "telephone_number": "602-257-1499",
            "fax_number": "602-253-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010EMCDOWELLRD",
            "address_2": "#406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062610",
            "telephone_number": "602-257-1499",
            "fax_number": "602-253-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHA FAUSTINA, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "FAUSTINA",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "602-257-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "33016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mishafaustinamd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.