Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101242331 | VA |
N | 208600000X | Surgeon | 0101242331 | VA |
Y | 2082S0105X | Plastic Hand Surgeon | 0101242331 | VA |
N | 2082S0105X | Plastic Hand Surgeon | 1010242331 | VA |
NPI | 1699769562 |
---|---|
Provider Name | Dr. Douglas R Trzcinski |
First Address | Norfolk, VA 23507-1904 |
Second Address | Norfolk, VA 23507-1904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 04/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
-019 | TRICARE/CHAMPUS (01) | VA |
07524 | NC BC/BS (01) | NC |
10021973 | SETARA/OPTIMA (01) | VA |
1699769562 | (05) | VA |
2168459 | UHC/MAMSI (01) | VA |
306057 | ANTHEM (01) | VA |
5907524 | (05) | NC |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |
PAR | VIRGINIA PREMIER HEALTH (01) | VA |