MARC A TRZECIAK (NPI# 1033111026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111026 |
| Entity Type | Individual |
| Full Name | MARC A TRZECIAK |
| Credential | D. O. |
| Practice Address |
609 E Orangeburg Ave Suite 201 Modesto CA 95350-5512 |
| Practice Telephone | 2095723224 |
| Practice Fax Number | 2095724528 |
| Mailing Telephone | 2095723224 |
| Mailing Fax Number | 2095724528 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 20A12596 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
20A12596 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
5505 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | 200168390 | 01 |
| OH | 0188461 | 05 |
| Street Address |
609 E ORANGEBURG AVE SUITE 201 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266389 | Cynthia Rae Lemos | Occupational Therapist | 609 E Orangeburg Ave, Modesto, CA 95350-5512 | 2019-10-09 |
| 1154688414 | Brandy R Chapin | Specialist/Technologist, Other | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2012-04-11 |
| 1528394202 | Ehsan Tabaraee | Orthopaedic Surgery | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2009-10-30 |
| 1508095613 | Julie Kay Wampler | Specialist/Technologist, Other | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2009-07-09 |
| 1053552745 | Jonathan Matthew Pettegrew | Orthopaedic Surgery | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2009-03-10 |
| 1386892529 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 609 E Orangeburg Ave, Suite 102, Modesto, CA 95350-5512 | 2008-08-29 |
| 1477746501 | Stanislaus Orthopaedics Sports Medicine Clinic | Podiatrist | 609 E Orangeburg Ave, #201, Modesto, CA 95350-5512 | 2007-08-22 |
| 1972720357 | Hailey K. Himes | Physical Therapist | 609 E Orangeburg Ave, 101, Modesto, CA 95350-5512 | 2007-04-19 |
| 1184749830 | Carolyn Levesey Pease | Physical Therapist | 609 E Orangeburg Ave, 101, Modesto, CA 95350-5512 | 2007-03-20 |
| 1669505160 | Stanislaus Orthopaedic and Sports Medicine Clinic | Specialist | 609 E Orangeburg Ave, Modesto, CA 95350-5580 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669852489 | Jeffrey Jett | Orthopaedic Surgery | 1400 Florida Ave Ste 102, Modesto, CA 95350-4446 | 2015-06-06 |
| 1497041164 | Eric Le Giang | Orthopaedic Surgery | 2116 E Orangeburg Ave Ste A, Modesto, CA 95355-3370 | 2011-06-21 |
| 1649504366 | Bradley Smith Md PC | Orthopaedic Surgery | 1329 Spanos Ct Ste C1, Modesto, CA 95355-2806 | 2009-09-28 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1083760342 | Mohinder Nijjar | Orthopaedic Surgery | 1400 Florida Ave Ste 6, Modesto, CA 95350-4446 | 2007-01-26 |
| 1215039094 | Wesley E Kinzie | Orthopaedic Surgery | 1401 Spanos Ct #101, Modesto, CA 95355-2811 | 2006-09-02 |
| 1629081195 | Leslie A. Konkin | Orthopaedic Surgery | 1501 Oakdale Rd Ste 301, Modesto, CA 95355-3382 | 2006-08-14 |
| 1982652459 | Michael B Purnell | Orthopaedic Surgery | 1335 Coffee Rd, #100, Modesto, CA 95355-3192 | 2006-05-05 |
| 1538117056 | Paul J Braaton | Orthopaedic Surgery | 1335 Coffee Road, Suite 100, Modesto, CA 95355-3192 | 2006-05-05 |
| 1770108771 | Eric L Giang Do Inc A Professional Corporation | Orthopaedic Surgery | 2116 E Orangeburg Ave Ste A, Modesto, CA 95355-3370 | 2020-06-15 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.