Individual provider Active NPI

Tracy Lynn Freeborn, DO

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1205140027
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
006728 Issued in AZ
Practice address
9321 W Thomas Rd Ste 325
Phoenix, AZ 85037-3396
Phone
(623) 936-5406
Fax
(623) 936-5479
NPI assigned
Aug 4, 2010
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 006728 AZ Primary

Addresses

Primary practice location

9321 W Thomas Rd Ste 325
Phoenix, AZ 85037-3396

Mailing address

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 258-9900

Other identifiers 1

IdentifierTypeStateIssuer
038029MedicaidAZ

Other names 1

  • Tracy Lynn Zeilinger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.freeborn@aasaz.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015372 AZ Practitioner - General Surgery 6204140940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006728AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Advanced Surgery LLC Surgery CurrentSince Apr 1, 2020 Accepting new patients

Locations

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

9250 W Thomas Rd
Ste 250
Phoenix, AZ 85037
Phone (623) 234-4130

9321 W Thomas Rd
Ste 325
Phoenix, AZ 85037
Phone (623) 936-5406

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD
  • Direct secure messaging: tracy.freeborn@aasaz.eclinicaldirectplus.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1205140027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041303",
            "telephone_number": "602-258-9900",
            "fax_number": "602-258-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 W THOMAS RD STE 325",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373396",
            "telephone_number": "623-936-5406",
            "fax_number": "623-936-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEBORN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "006728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038029",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.freeborn@aasaz.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9321 W Thomas Rd Ste 325",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850373396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ZEILINGER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.