THEODORE K. TRZYNKA (NPI# 1295271054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295271054 |
| Entity Type | Individual |
| Full Name | THEODORE K. TRZYNKA |
| Credential | ATC |
| Practice Address |
1282 Concordia Ave Saint Paul MN 55104-5479 |
| Practice Telephone | 6516418853 |
| Practice Fax Number | 6516418787 |
| Mailing Telephone | 6516418853 |
| Mailing Fax Number | 6516418787 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 1521 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1282 CONCORDIA AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-5479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740714500 | Jessica Luby | Specialist/Technologist | 1282 Concordia Ave, Saint Paul, MN 55104-5479 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073968343 | Pt Logix, LLC | Specialist/Technologist | 2 Carlson Pkwy N, #125, Plymouth, MN 55447-4466 | 2016-04-25 |
| 1992136147 | Brian Fay | Specialist/Technologist | 1 Veterans Dr, Mc 117, Minneapolis, MN 55417-2309 | 2013-12-12 |
| 1871641951 | Terry Joe Carlyle | Specialist/Technologist | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-01-08 |
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on THEODORE K. TRZYNKA.
| 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.