Provider Demographics
NPI:1316907827
Name:JOYCE, TINA MARIE TRZASKA (DO)
Entity type:Individual
Prefix:DR
First Name:TINA MARIE
Middle Name:TRZASKA
Last Name:JOYCE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:TINA
Other - Middle Name:MARIE
Other - Last Name:TRZASKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:8007 AUBURN RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CONCORD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9600
Mailing Address - Country:US
Mailing Address - Phone:440-375-5520
Mailing Address - Fax:440-350-0955
Practice Address - Street 1:8007 AUBURN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CONCORD TWP
Practice Address - State:OH
Practice Address - Zip Code:44077-9610
Practice Address - Country:US
Practice Address - Phone:440-375-5502
Practice Address - Fax:440-350-0955
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-008375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH264200000OtherFEDERAL BLACK LUNG
OH2631567Medicaid
OH6600162OtherUNITED HEALTHCARE
OH264200000OtherDEPT OF LABOR
OH80507OtherQUALCHOICE
OH341425870042OtherMEDICAL MUTUAL OF OHIO