Gerald a. Jaworski, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17702 Issued in OR

Legal business name

GERALD A. JAWORSKI, M.D., P.C.

Practice address

2282 NW Troost St Ste 101
Roseburg, OR 97470-6072

Phone

(541) 673-0609

Fax

(541) 440-9387

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Ann Jaworski

Title

Clerk

Phone

(541) 673-0609

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Andrew Jaworski, M.D.

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1043272099
  Medicare reassignment

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1093974107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706072",
            "telephone_number": "541-673-0609",
            "fax_number": "541-440-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706072",
            "telephone_number": "541-673-0609",
            "fax_number": "541-440-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD A. JAWORSKI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "541-673-0609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "17702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Breeze, LLC
• Christine George Melvin
• Darryl Brett George, D.O.
• Kimberly Michelle George
• Kristin Marie George, RN
• Gerald Engstrom
• David Germany
• Jinalyn Germond
• Kathleen Geyer
• Vicky M Geyer, HAD

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.