Tara M Mastracci, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

57.014091 Issued in OH

Practice address

9500 Euclid Ave
Vascular Surgery S40, Cleveland Clinic Foundation
Cleveland, OH 44195-0001

Phone

(216) 445-1338

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1144496936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HASKELL DR",
            "city": "BRATENAHL",
            "state": "OH",
            "postal_code": "441081169",
            "telephone_number": "216-445-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "VASCULAR SURGERY S40, CLEVELAND CLINIC FOUNDATION",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRACCI",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "57.014091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie K Masters, CRNA
• Tyler Masters
• Conor Masterson
• Maureen Masterson, LSW
• Jinx Mastney, LPN
• Karen M Mastrangelo, L.AC.
• Anthony Mastroianni, MD
• Natalie Mastroianni, MD
• Carolyn Mastropieri, OTR/L
• Lauren Masuga, M.A. CCC-SLP

• Vascular Surgery Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.