Individual provider Active NPI

Thomas Patrick Trezona, MD

  • Medical Oncology Physician
  • Springfield, OR
National Provider Identifier
1295826014
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD19268 Issued in OR
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

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
076802MedicaidOR

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.