Individual provider Active NPI

Tina Marie Trzaska Joyce, DO

  • Family Medicine Physician
  • Concord TWP, OH
National Provider Identifier
1316907827
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-008375 Issued in OH
Practice address
8007 Auburn Rd
Suite 3
Concord TWP, OH 44077-9610
Phone
(440) 375-5502
Fax
(440) 350-0955
NPI assigned
Mar 27, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-008375 OH Primary

Addresses

Primary practice location

8007 Auburn Rd
Suite 3
Concord TWP, OH 44077-9610

Mailing address

8007 Auburn Rd
Suite 3
Concord TWP, OH 44077-9600
Phone (440) 375-5520

Other identifiers 6

IdentifierTypeStateIssuer
264200000OtherOHDEPT OF LABOR
264200000OtherOHFEDERAL BLACK LUNG
341425870042OtherOHMEDICAL MUTUAL OF OHIO
2631567MedicaidOH
6600162OtherOHUNITED HEALTHCARE
80507OtherOHQUALCHOICE

Other names 1

  • Dr. Tina Marie Trzaska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000305 OH Practitioner - Family Practice 0941212435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7515 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 721-8331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-008375OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince Nov 17, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 17, 2021 Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Lake Hospital System, Inc Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lake Hospital System Past Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Mar 1, 2007 Accepting new patients
Lake Hospital System, Inc Family Medicine Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients
Lake Hospital System Inc. Family Medicine Past Accepting new patients

Locations

510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494

7515 Fredle Dr
Concord Township, OH 44077
Phone (440) 352-0400

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: tjoyce20353@nomshealthcare.direct-ci.com
  • Direct secure messaging: tjoyce219080@ehrdirect.uhhospitals.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1316907827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 AUBURN RD",
            "address_2": "SUITE 3",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779600",
            "telephone_number": "440-375-5520",
            "fax_number": "440-350-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 AUBURN RD",
            "address_2": "SUITE 3",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779610",
            "telephone_number": "440-375-5502",
            "fax_number": "440-350-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "TINA MARIE",
        "middle_name": "TRZASKA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "264200000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "264200000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "341425870042",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2631567",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6600162",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "80507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "TRZASKA",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord TWP, OH

Sources for this page

Verify at the official NPI Registry.