Active NPI
Sawyer Jeffrey Fleck, PA-C
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 302 W Fletcher Ave
Tampa, FL 33612-3415 - Phone
- (774) 613-1577
- NPI assigned
- Apr 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
302 W Fletcher Ave
Tampa, FL 33612-3415
Mailing address
PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9116065 | Other | FL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tfhccredentialing@hcnetwork.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300
4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 397-5300
7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone (813) 397-5300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Family Health Centers, Inc | Current | Accepting new patients | |
| Tampa Family Health Centers, Inc | Current | Accepting new patients |
Locations
7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939
302 W Fletcher Ave
Tampa, FL 33612
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.
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1356347413
-
- Orthopaedic Surgery Physician
- Newburyport, MA
- NPI 1366462616
-
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1316942840
-
- General Practice Physician
- Tampa, FL
- NPI 1831769579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1518586205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82969",
"city": "TAMPA",
"state": "FL",
"postal_code": "336822969",
"telephone_number": "813-866-0930",
"fax_number": "813-405-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336123415",
"telephone_number": "774-613-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "SAWYER",
"middle_name": "JEFFREY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA9116065",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tfhccredentialing@hcnetwork.org",
"affiliation": "N",
"endpointDescription": "Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Credentialing",
"address_1": "302 W Fletcher Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336123415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.