Clay Richard Zboril, PA-C
Individual provider Active NPI Medical Physician Assistant · El Campo, TX
NPI 1114342136 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1114342136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Campo Memorial Hospital
West Wharton County Hospital District
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
- Angels Care Home Health
- Accentcare Home Health of Texas
- Sacred Care Home Health, LLC
- El Campo Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531000556 | TX | Practitioner - Physician Assistant | 4880916584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Campo Memorial Hospital | Current |
Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| West Wharton County Hospital District | Past | Accepting new patients |
Locations
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
1201 N Mechanic St
El Campo, TX 77437
Phone (979) 332-2230
305 Sandy Corner Rd
Ste 120
El Campo, TX 77437
305 Sandy Corner Rd
El Campo, TX 77437
Phone 9795435510217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TX | Yes |
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
Other providers in El Campo, TX
- Willis 1 Dentistry PLLC
- Shaun Willis
- Gatha Neva Wilson
- John Frederick Wissinger
- Robin L. Yue
- Rebecca Aurora Zepeda
All providers in El Campo, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.