Individual provider Active NPI

Edwin Czovek, PHYS ASSISTANT

  • Physician Assistant
  • Zephyrhills, FL
National Provider Identifier
1891867396
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110250 Issued in FL
Practice address
37840 Medical Arts CT
Zephyrhills, FL 33541
Phone
(352) 518-2000
Fax
(352) 567-8125
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002093 CT
Physician Assistant 363A00000X PA9110250 FL Primary

Addresses

Primary practice location

37840 Medical Arts CT
Zephyrhills, FL 33541

Mailing address

37840 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone (352) 518-2000

Other practice location 1

73 Cedar St
New Britain, CT 06052-1301
Phone (860) 224-5267

Other practice location 2

100 Grand St
New Britain, CT 06052-2016
Phone (540) 542-0200 ext. 6404

Other practice location 3

73 Cedar St
New Britain, CT 06052-1301
Phone (860) 224-5267

Other identifiers 1

IdentifierTypeStateIssuer
0110001918MedicaidVA

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
I20190305000943 FL Practitioner - Physician Assistant 4981777281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

27416 Cashford Cir
Wesley Chapel, FL 33544-6938

3665 Madaca LN
Tampa, FL 33618-2048
Phone (813) 280-7380

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110250FLMDPhysician Assistant
002093CTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince Jun 17, 2024 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Nov 8, 2021 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jun 17, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Nov 8, 2021 Accepting new patients

Locations

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Interoperability endpoints

  • Direct secure messaging: edwin.czovek@xdr.hhchealthdirect.org

Organizations & group practices 5

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1891867396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Cedar St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060521301",
            "country_code": "US",
            "telephone_number": "860-224-5267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "540-542-0200 x6404",
            "fax_number": "540-542-0218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Cedar St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060521301",
            "country_code": "US",
            "telephone_number": "860-224-5267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZOVEK",
        "first_name": "EDWIN",
        "credential": "PHYS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002093",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110001918",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.