Individual provider Active NPI

Sean Worix, PA-C

  • Physician Assistant
  • Oldsmar, FL
National Provider Identifier
1831886001
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117388 Issued in FL
Practice address
3705 Tampa Rd
Oldsmar, FL 34677-6300
Phone
(813) 891-6343
Fax
(813) 891-6342
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 PA9117388 FL Primary

Addresses

Primary practice location

3705 Tampa Rd
Oldsmar, FL 34677-6300

Mailing address

3705 Tampa Rd
Oldsmar, FL 34677-6300

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
I20230525001760 FL Practitioner - Physician Assistant 2567828015 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117388FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Clinic PA CurrentSince Jul 17, 2023 Accepting new patients
Atlantis Clinic PA CurrentSince Jul 17, 2023 Accepting new patients

Locations

3705 Tampa Rd
Ste 22
Oldsmar, FL 34677
Phone (813) 891-6343

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1831886001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776300",
            "telephone_number": "813-891-6343",
            "fax_number": "813-891-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORIX",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.