Tom Bozzay, PA-C
NPI 1639346620ActiveIndividual· Physician Assistant· Little Rock, AR
Physician Assistant (PA-C) with University of Arkansas for Medical Sciences and 1 other group, practicing in Little Rock, Arkansas. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Sanford Medical Center Fargo as a hospital affiliation.
Overview
| NPI | 1639346620 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 9, 2008 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-489 | AR |
| Physician Assistant | 363A00000X | PAC1162 | ND |
| Physician Assistant | 363A00000X | 085002816 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR); Practitioner - Physician Assistant (ND); Practitioner - Physician Assistant (WI) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- University of Arkansas for Medical SciencesLittle Rock, AR · 1,175 clinicians
- Ascension Medical Group-Fox Valley Wisconsin, IncAppleton, WI · 259 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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