OrganizationActive
Burt Faibisoff, MD, PLLC
NPI 1336396761 · Plastic Surgery Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1336396761
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Burt Faibisoff, Member(928) 680-7707
- License
- 13213 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2035 Mesquite Ave
Suite a
Lake Havasu City, AZ 86403-5894
Phone: (928) 680-7707
Fax: (928) 680-7773
Street-level locationGet directions
Mailing address
2035 Mesquite Ave
Lake Havasu City, AZ 86403-5894
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2008-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.