Active NPI
Phillip Oswald Woosam, PA-C
- Physician Assistant
- New Port Richey, FL
National Provider Identifier
1013193069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103966
- Practice address
- 5453 Gulf Dr
Suite 3
New Port Richey, FL 34652-3903 - Phone
- (727) 847-2214
- Fax
- (727) 846-0923
- NPI assigned
- Jan 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103966 | FL | Primary |
Addresses
Primary practice location
5453 Gulf Dr
Suite 3
New Port Richey, FL 34652-3903
Mailing address
5453 Gulf Dr
Suite 3
New Port Richey, FL 34652-3903
Phone (727) 847-2214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103966 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health Care Physicians LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Spring Hill, FL
- NPI 1245529742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1013193069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5453 GULF DR",
"address_2": "SUITE 3",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523903",
"telephone_number": "727-847-2214",
"fax_number": "727-846-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5453 GULF DR",
"address_2": "SUITE 3",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523903",
"telephone_number": "727-847-2214",
"fax_number": "727-846-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOSAM",
"first_name": "PHILLIP",
"middle_name": "OSWALD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.