Provider Demographics
NPI:1699769562
Name:TRZCINSKI, DOUGLAS R (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:R
Last Name:TRZCINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GRESHAM DR STE 204
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1904
Mailing Address - Country:US
Mailing Address - Phone:757-388-5680
Mailing Address - Fax:757-510-9157
Practice Address - Street 1:600 GRESHAM DR STE 204
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-5680
Practice Address - Fax:757-510-9157
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242331208200000X, 2082S0105X
VA10102423312082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1699769562Medicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherAETNA
NC5907524Medicaid
VAPAROtherMULTIPLAN
VAPAROtherUSA MANAGED CARE
VAPAROtherVIRGINIA PREMIER HEALTH
VA-019OtherTRICARE/CHAMPUS
VA10021973OtherSETARA/OPTIMA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
NC07524OtherNC BC/BS
VA2168459OtherUHC/MAMSI
VAPAROtherCIGNA
VA306057OtherANTHEM
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherCIGNA
VA014643E30Medicare PIN