Individual provider Active NPI

Steven James Fujarczyk

  • Physician Assistant
  • Sebastian, FL
National Provider Identifier
1336733666
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117481 Issued in FL
Practice address
407 Azine Ter
Sebastian, FL 32958
Phone
(786) 210-2483
NPI assigned
Feb 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117481 FL Primary

Addresses

Primary practice location

407 Azine Ter
Sebastian, FL 32958

Mailing address

407 Azine Ter
Sebastian, FL 32958-4539
Phone (786) 210-2483

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sfujarczyk@usf.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230915002065 FL Practitioner - Physician Assistant 9436513967 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians

Practice addresses (Care Compare)

Tampa, FL 33629
Phone (727) 441-3711

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

323 Jeffords St
Clearwater, FL 33756-3825
Phone (727) 441-3711

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6105

601 Main St
Dunedin, FL 34698-5848
Phone (727) 734-6935

6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 842-8468

Hospital & facility affiliations

  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Plant Mease Health Services Inc CurrentSince Jan 26, 2024 Accepting new patients

Locations

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1336733666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AZINE TER",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584539",
            "telephone_number": "786-210-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AZINE TER",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "786-210-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJARCZYK",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sfujarczyk@usf.edu",
            "affiliation": "N",
            "address_1": "19090 NE 21st Ave",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331794339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.