Jann E. Trzeciak, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012099 Issued in MI

Practice address

1915 N Perrt Street
Pontiac, MI 48340

Phone

(248) 276-3999

Fax

(248) 276-3998

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912
  NPD (past)
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684
  NPD (past)
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1619199171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484460685",
            "telephone_number": "866-898-7139",
            "fax_number": "616-975-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N PERRT STREET",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48340",
            "telephone_number": "248-276-3999",
            "fax_number": "248-276-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZECIAK",
        "first_name": "JANN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101011299",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619199171",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JT012099",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Health-Michigan (Stjoseph Mercy Professional Pharmacy)
• Caitlin Marie Troiano
• Hannah Elizabeth Trolz, PA-C
• True Legendary Services (Legendary services)
• Trusted Hands L.L.C.
• Chaunta Tsegaye
• Nicolle Tsertos
• Alexander Tsibulski, MD
• Andrea Alexis Tucker, DDS
• Eureka Tuckerbush

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.