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Prescott Medical and Dermatology Group

Dermatology Physician in Prescott, AZ · enumerated 2022 · authorized official Burt Faibisoff, Physician/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841929908

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Registry record

Entity type Organization (Type 2)
Legal business name Prescott Medical and Dermatology Group
Practice address 810 Ainsworth Dr, Prescott, AZ, 86301
Phone (928) 515-1155
Fax (928) 460-5158
Enumeration date Jun 6, 2022
Last updated in NPPES Nov 10, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Burt Faibisoff
Title Physician/Owner
Phone (602) 476-4074

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Prescott Medical and Dermatology Group located?
The practice location on file with NPPES is in Prescott, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-11-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-10.