Individual provider Active NPI

Clay Richard Zboril, PA-C

  • Medical Physician Assistant
  • El Campo, TX
National Provider Identifier
1114342136
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
305 Sandy Corner Rd
El Campo, TX 77437-9535
Phone
(979) 543-5510
Fax
(979) 543-8420
NPI assigned
Feb 27, 2014
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary

Addresses

Primary practice location

305 Sandy Corner Rd
El Campo, TX 77437-9535

Mailing address

1083 County Road 317
Louise, TX 77455-3926
Phone (979) 578-3693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000556 TX Practitioner - Physician Assistant 4880916584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Campo Memorial HospitalGroup PAC ID 6406021765, 27 clinicians
West Wharton County Hospital DistrictGroup PAC ID 7517952047, shared by 93 NPIs, 17 clinicians

Practice addresses (Care Compare)

303 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 543-6251

305 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 543-5510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Campo Memorial Hospital CurrentSince Jun 1, 2016 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
El Campo Memorial Hospital Past Accepting new patients

Locations

1201 N Mechanic St
El Campo, TX 77437
Phone (979) 332-2230

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

305 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

305 Sandy Corner Rd
Ste 120
El Campo, TX 77437

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1114342136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 COUNTY ROAD 317",
            "city": "LOUISE",
            "state": "TX",
            "postal_code": "774553926",
            "telephone_number": "979-578-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SANDY CORNER RD",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "979-543-5510",
            "fax_number": "979-543-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZBORIL",
        "first_name": "CLAY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

Verify at the official NPI Registry.