TOM BOZZAY PA-C NPI 1639346620

NPI Information

  • NPI: 1639346620
  • Provider Name: TOM BOZZAY, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4301 W MARKHAM ST # 532
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 686-5311

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NPI Details

Tom Bozzay, PA-C is a physician assistant in Little Rock, AR. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Tom Bozzay, PA-C NPI is 1639346620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4301 W MARKHAM ST # 532
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-5311
Fax: (501) 686-6439

The NPI 1639346620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)

The enumeration date for this NPI number is 5/9/2008 and was last updated on 10/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPAC1162NORTH DAKOTANo
2363A00000XPhysician Assistant085002816ILLINOISNo
3363A00000XPhysician AssistantPA-489ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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