Individual provider Active NPI

Tamar V Jeffery, MD

  • Emergency Medicine Physician
  • Tuba City, AZ
National Provider Identifier
1174701866
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301088003 Issued in MI
Practice address
167 N Main St
Tuba City, AZ 86045-0600
Phone
(928) 283-2501
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301088003 MI Primary

Addresses

Primary practice location

167 N Main St
Tuba City, AZ 86045-0600

Mailing address

PO Box 600
Tuba City, AZ 86045-0600
Phone (928) 283-2501

Other identifiers 1

IdentifierTypeStateIssuer
995852MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090619000104 MI Practitioner - Emergency Medicine 2860543576 Reassigns benefits to 7 organizations
I20120227000488 OH Practitioner - Emergency Medicine 2860543576 Reassigns benefits to 2 organizations
I20191223000293 TX Practitioner - Emergency Medicine 2860543576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihp Mi Emergency Medicine PLLCGroup PAC ID 2365821634, 42 clinicians

Practice addresses (Care Compare)

2601 Electric Ave
Port Huron, MI 48060-6587
Phone (810) 216-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088003MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Nov 14, 2019 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Dec 15, 2021 Accepting new patients
Dickinson County Healthcare System Family Medicine CurrentSince Mar 10, 2025 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Dec 15, 2021 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Nov 14, 2019 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
Ihp Mi Emergency Medicine PLLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Covenant Medical Center, Inc. Emergency Medicine Current Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Dec 21, 2016 Accepting new patients
Steward Emergency Physicians Ohio Inc Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ascension Borgess Hospital Emergency Medicine CurrentSince May 2, 2018 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Oct 15, 2025 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince May 2, 2018 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine PastSince Mar 21, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Nes of Port Huron, Inc. Emergency Medicine Past Accepting new patients
Internal Medicine Solutions PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1174701866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450600",
            "telephone_number": "928-283-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N MAIN ST",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450600",
            "telephone_number": "928-283-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "TAMAR",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301088003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "995852",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuba City, AZ

Sources for this page

Verify at the official NPI Registry.