Individual provider Active NPI

Martina Frost, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1629071766
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2513 Issued in AZ
Practice address
6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552
Phone
(520) 545-0953
Fax
(520) 545-0954
NPI assigned
May 23, 2005
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2513 AZ Primary

Addresses

Primary practice location

6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552

Mailing address

6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552
Phone (520) 545-0953

Other practice location 1

6080 N La Cholla Blvd # 200
Tucson, AZ 85741-3533
Phone (520) 797-8550

Other identifiers 4

IdentifierTypeStateIssuer
1Z6037OtherAZHEALTH NET
970022749OtherAZRAILROAD MEDICARE
AZ0886320OtherAZBCBS OF ARIZONA
619918MedicaidAZ

Other names 1

  • Martina E Frost Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address martina.frost.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1629071766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413552",
            "telephone_number": "520-545-0953",
            "fax_number": "520-545-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413552",
            "telephone_number": "520-545-0953",
            "fax_number": "520-545-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 N La Cholla Blvd # 200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413533",
            "country_code": "US",
            "telephone_number": "520-797-8550",
            "fax_number": "520-797-6986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "MARTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z6037",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970022749",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0886320",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "619918",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martina.frost.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6320 N La Cholla Blvd Ste 300",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "FROST",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.