Active NPI
Thomas Patrick Trezona, MD
- Medical Oncology Physician
- Springfield, OR
National Provider Identifier
1295826014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD19268
- Practice address
- 3783 International CT Ste 200
Springfield, OR 97477-1025 - Phone
- (541) 302-6469
- Fax
- (541) 302-6473
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | MD19268 | OR | |
| Medical Oncology Physician | 207RX0202X | MD19268 | OR | Primary |
Addresses
Primary practice location
3783 International CT Ste 200
Springfield, OR 97477-1025
Mailing address
3783 International CT
Ste 200
Springfield, OR 97477-1025
Phone (541) 302-6469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076802 | Medicaid | OR |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Surgiccal Oncology, PC | Past | Accepting new patients | |
| Peacehealth Medical Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eugene, OR
- NPI 1467635193
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1295826014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3783 INTERNATIONAL CT",
"address_2": "STE 200",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771025",
"telephone_number": "541-302-6469",
"fax_number": "541-302-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3783 INTERNATIONAL CT STE 200",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771025",
"telephone_number": "541-302-6469",
"fax_number": "541-302-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREZONA",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "OR",
"license": "MD19268",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OR",
"license": "MD19268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076802",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.