Individual provider Active NPI

Jameson John Pawlik, PA-C

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1174749212
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9111323 Issued in FL
Practice address
1952 Field Rd
Sarasota, FL 34231-2316
Phone
(941) 926-7546
Fax
(941) 926-8811
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X AMD-441 HI
Surgical Physician Assistant 363AS0400X PA 1619 MA
Medical Physician Assistant 363AM0700X PA9111323 FL Primary

Addresses

Primary practice location

1952 Field Rd
Sarasota, FL 34231-2316

Mailing address

1952 Field Rd
Sarasota, FL 34231-2316
Phone (941) 926-7546

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jpawlik@dermatologyexperts.emadirect.md Direct J Morgan ODonoghue P A
Direct Messaging Address jpawlik@dermatologyexperts.emadirect.md Direct

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
I20180730003252 FL Practitioner - Physician Assistant 9335181437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Morgan Odonoghue P aGroup PAC ID 4789771148, 3 clinicians

Practice addresses (Care Compare)

1952 Field Rd
Sarasota, FL 34231-2316
Phone (941) 926-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.43 of 100Reported as individual
Quality
96.86
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1619MAMDPodiatrist
PA 1619MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brian a. Stolley MD, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jpawlik@dermatologyexperts.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1174749212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 FIELD RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312316",
            "telephone_number": "941-926-7546",
            "fax_number": "941-926-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 FIELD RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312316",
            "telephone_number": "941-926-7546",
            "fax_number": "941-926-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLIK",
        "first_name": "JAMESON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "HI",
            "license": "AMD-441",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA 1619",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpawlik@dermatologyexperts.emadirect.md",
            "affiliation": "Y",
            "endpointDescription": "jpawlik@dermatologyexperts.emadirect.md",
            "affiliationName": "J Morgan ODonoghue P A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1952 Field Rd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342312316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpawlik@dermatologyexperts.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "jpawlik@dermatologyexperts.emadirect.md",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1952 Field Rd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342312316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.