Joan F Tryzelaar, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4066 Issued in MA

Practice address

500 Cummings Ctr Ste 1800
Beverly, MA 01915

Phone

(978) 921-1210

Fax

(978) 921-1534

NPI assigned

Dec 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Thoracic Surgery

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
• North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dutch Connection LLC

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1447703301
  Medicare reassignment NPD Authorized official
• Markuns Medical Services LLC

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1003473430
  NPD (past)

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

• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  Care Compare affiliation
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  Care Compare affiliation

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1679819031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BROOKSBY VILLAGE DR UNIT 702",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608590",
            "telephone_number": "207-415-1307",
            "fax_number": "207-221-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR STE 1800",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-921-1210",
            "fax_number": "978-921-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gilman Wass Rd",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "ME",
            "postal_code": "046063639",
            "country_code": "US",
            "telephone_number": "207-415-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRYZELAAR",
        "first_name": "JOAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "ME",
            "license": "010688",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ME",
            "license": "010688",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "4066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1679819031",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Tringali
• Alexander B Trotsky, PT
• Charles McGregor Troy II, PHD
• Heather Trubiano, BA
• Kyle Truscott, DC
• Liesbeth Tryzelaar, MD
• Angel Tsai, MD
• Jennifer Tsappis, LICSW
• Sarah Elizabeth Tsouvalas, MSN, FNP-C
• Izabella Ana Tucci

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.