Individual provider Active NPI

Noel Zvonar, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Mobile, AL
National Provider Identifier
1770885212
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-735 Issued in AL
Practice address
4310 Old Shell Rd Ste D
Mobile, AL 36608-2046
Phone
(251) 343-9100
Fax
(251) 343-9125
NPI assigned
Dec 2, 2010
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA735 AL
Medical Physician Assistant 363AM0700X PA-735 AL Primary

Addresses

Primary practice location

4310 Old Shell Rd Ste D
Mobile, AL 36608-2046

Mailing address

4310 Old Shell Rd Ste D
Mobile, AL 36608-2046
Phone (251) 343-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110413000058 AL Practitioner - Physician Assistant 2860676038 Reassigns benefits to 1 organization
I20110720000624 FL Practitioner - Physician Assistant 2860676038

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Dermatology, P.CGroup PAC ID 6406868546, 5 clinicians

Practice addresses (Care Compare)

4310 Old Shell Rd
Suite D
Mobile, AL 36608-2046
Phone (251) 343-9100

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
95.12
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-735ALMDMedical Physician Assistant
PA735ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates of Northwest Florida PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1770885212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 OLD SHELL RD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082046",
            "telephone_number": "251-343-9100",
            "fax_number": "251-343-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 OLD SHELL RD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082046",
            "telephone_number": "251-343-9100",
            "fax_number": "251-343-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVONAR",
        "first_name": "NOEL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA735",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.