Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Petryk, MD

Individual provider Family Medicine Physician · NPI 1245210244

Dr. Thomas Petryk, MD is a Family Practice in Newark, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 1989, 37 years ago. Practices with Medical and Surgical Associates Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
37
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1930 Tamarack Rd
Newark, OH 43055-2303
Phone: (740) 522-7600
Fax: (740) 522-6399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35060761 (OH)

Record details

NPI number1245210244
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESMay 6, 2011
Mailing address1930 Tamarack Rd, Newark, OH 43055-2303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Medical And Surgical Associates Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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