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

Individual provider Dermatology Physician · NPI 1972644532

Tana Frumento, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Omni Dermatology Incorporated, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2007
Specialties on file
2
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

4801 E McDowell Rd Ste 150
Phoenix, AZ 85008-7725
Phone: (602) 954-3919
Fax: (602) 954-3919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3540 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence 3540 (AZ)

Record details

NPI number1972644532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Omni Dermatology Incorporated — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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