Evan Matthew Zavicar, PA-S2

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16573 Issued in TX

Practice address

11003 Resource Pkwy Ste 102
Houston, TX 77089-6142

Phone

(281) 481-8557

Fax

(281) 481-8540

NPI assigned

Jun 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1508597667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896142",
            "telephone_number": "814-818-5572",
            "fax_number": "281-481-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896142",
            "telephone_number": "281-481-8557",
            "fax_number": "281-481-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVICAR",
        "first_name": "EVAN",
        "middle_name": "MATTHEW",
        "credential": "PA-S2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Zavala, M.D.
• Kathleen Zavalla
• Richard Zavalla, AGNP-C
• Sarah Zaver, OD
• Kesha Zaveri
• Emerald Moe Khaing Zaw, MD
• Moe Oo Zaw, M.D
• Wilfred Zaw, OD
• Robert Zayas Jr., M.D.
• Zayd S Kaylani MD PA

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.