Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tom Bozzay, PA-C

Individual provider Physician Assistant · NPI 1639346620

Tom Bozzay, PA-C is a Physician Assistant in Little Rock, Arkansas. Qualified in 2006, 20 years ago. Practices with Ascension Medical Group-Fox Valley Wisconsin, Inc, a 260-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas, Illinois and North Dakota.

Years since qualifying
20
Licensed in
AR, IL, ND
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4301 W Markham St # 532
Little Rock, AR 72205-7101
Phone: (501) 686-5311
Fax: (501) 686-6439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1401 E State St, Rockford, IL 61104-2315 — (414) 290-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-489 (AR)
Physician Assistant Taxonomy 363A00000X · Licence PAC1162 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 085002816 (IL)

Record details

NPI number1639346620
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ascension Medical Group-Fox Valley Wisconsin, Inc — 260 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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