NPIMap

Individual provider Active NPI

Tamarah Fratianni, D.O

  • Facial Plastic Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1689673972
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
3000 Issued in AZ
Practice address
1340 N Rim Dr
Flagstaff, AZ 86001-3111
Phone
(928) 774-1873
Fax
(928) 774-5525
NPI assigned
Jul 19, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 3000 AZ Primary

Addresses

Primary practice location

1340 N Rim Dr
Flagstaff, AZ 86001-3111

Mailing address

1340 N Rim Dr
Flagstaff, AZ 86001-3111
Phone (928) 774-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041119000847 AZ Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Maxillofacial Surgery 9739073982 Reassigns benefits to 3 organizations
I20241209002957 TX Practitioner - Otolaryngology 9739073982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Maxillofacial Surgery
Education
College of Osteo Med of the Pacific at Pomona, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flagstaff Surgical Associates PAGroup PAC ID 6901880210, 32 clinicians

Practice addresses (Care Compare)

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

1501 N Williamson Ave
Little Colorado Medical Center
Winslow, AZ 86047-2735
Phone (928) 289-4646

5130 N Hwy 89
Flagstaff, AZ 86004-2837
Phone (928) 773-2054

77 W Forest Ave
Suite 201
Flagstaff, AZ 86001-1483
Phone (928) 773-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as individual
Quality
90
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3000AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Surgical Associates PA CurrentSince Mar 1, 2025 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Aug 14, 2021 Accepting new patients
Winslow Indian Health Care Group CurrentSince Jan 1, 2025 Accepting new patients
Crystal Canyon ENT & Facial Plastic Surgery PC CurrentSince Dec 15, 1999 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jan 1, 2025 Accepting new patients
Northern Arizona Healthcare Corporation Orthopaedic Surgery CurrentSince Aug 14, 2021 Accepting new patients
Northern Arizona Healthcare Corporation PastSince Aug 6, 2023 Accepting new patients

Locations

115 S Candy Ln
Ste B1
Cottonwood, AZ 86326
Phone (520) 774-1873

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1340 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-1873

5130 N US Highway 89
Flagstaff, AZ 86004
Phone (928) 773-2054

77 W Forest Ave
Ste 107
Flagstaff, AZ 86001
Phone (520) 773-2530

77 W Forest Ave
Ste 201
Flagstaff, AZ 86001
Phone (928) 773-2222

300 W White Mountain Blvd
Ste D
Lakeside, AZ 85929
Phone (928) 367-2642

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJDHBD

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689673972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N RIM DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013111",
            "telephone_number": "928-774-1873",
            "fax_number": "928-774-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N RIM DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013111",
            "telephone_number": "928-774-1873",
            "fax_number": "928-774-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATIANNI",
        "first_name": "TAMARAH",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AZ",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.