Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamara Frederick, PA-C

Individual provider Physician Assistant · NPI 1679738025

Tamara Frederick, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2008, 18 years ago. Practices with Vanguard Medical Specialists, LLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Licensed in
CO
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone: (719) 355-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5700 N Elizabeth St, Pueblo, CO 81008-2166 — (719) 543-1111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006906 (CO)

Record details

NPI number1679738025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2008
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Vanguard Medical Specialists, Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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