Active NPI
Victor J Trzeciak, MD
- Internal Medicine Physician
- Sheffield Village, OH
National Provider Identifier
1447228937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.052395
- Practice address
- 5334 Meadow Lane CT
Sheffield Village, OH 44035-1469 - Phone
- (440) 934-5454
- Fax
- (440) 934-8999
- NPI assigned
- Mar 9, 2006
- Last updated
- Feb 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.052395 | OH | Primary |
Addresses
Primary practice location
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Mailing address
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (440) 934-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0674257 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1447228937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "440-934-5454",
"fax_number": "440-934-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "440-934-5454",
"fax_number": "440-934-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRZECIAK",
"first_name": "VICTOR",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.052395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0674257",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield Village, OH
- Leanne Marie Thompson, LPCC
- Beth Ann Tibbetts-Williams, LPCC
- Patrick Sean Till, O.D.
- Donna Nicole Toth, LPC
- Lindsey Trout
- University Primary Care Practices Inc (Center for Othopedics)
- University Primary Care Practices Inc (Center for Othopedics)
- University Primary Care Practices, Inc. (Center for Othopedics)
- Urology of Northern Ohio, Inc
- Julie Vangelos, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.