DR. JANN E. TRZECIAK (NPI# 1619199171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619199171 |
| Entity Type | Individual |
| Full Name | DR. JANN E. TRZECIAK |
| Credential | D.O. |
| Practice Address |
1915 N Perrt Street Pontiac MI 48340 |
| Mailing Address |
Po Box 685 Lapeer MI 48446-0685 |
| Practice Telephone | 2482763999 |
| Practice Fax Number | 2482763998 |
| Mailing Telephone | 8668987139 |
| Mailing Fax Number | 6169759827 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101012099 | MI | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
5101011299 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1619199171 | 05 | |
| MI | BCBS | JT012099 | 01 |
| Street Address |
1915 N PERRT STREET |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1023181443 | Tiffany J Karkanen | Dentist | 1018 Joslyn, Pontiac, MI 48340 | 2006-11-15 |
| Find all providers in zip 48340 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1366936742 | Xiao Ji Chen | Family Medicine | 461 West Huron St Suite 107 Admin, Pontiac, MI 48341 | 2018-06-19 |
| 1396248464 | Amber Kay Jones | Family Medicine | 2500 W Reynolds St Ste 207, Pontiac, IL 61764-9774 | 2018-03-14 |
| 1619423225 | Mariam Haq | Family Medicine | 461 W Huron St., Pontiac, MI 48341 | 2016-09-01 |
| 1811349079 | Divjot Minhas | Family Medicine | 145 Seminole St, Pontiac, MI 48341-1641 | 2016-07-11 |
| 1750579660 | John C Purnell | Family Medicine | 401 E Water St, Pontiac, IL 61764-2023 | 2007-10-05 |
| 1518189786 | Madison Street Clinic P.C. | Family Medicine | 520 W Madison St, Pontiac, IL 61764-1729 | 2007-05-03 |
| 1881740579 | Philip S. Durocher | Family Medicine | 1201 N Telegraph Rd, Oakland County Jail, Pontiac, MI 48341-1029 | 2007-01-26 |
| 1457426363 | J C Purnell Md Sc | Family Medicine | 401 E Water Street, Pontiac, IL 61764-0470 | 2006-11-24 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in PONTIAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.