NPIMap

Individual provider Active NPI

Jaroslaw K Paszkowiak, MD

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1205899333
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23630 Issued in OK
Practice address
4411 W Gore Blvd
Ste B1
Lawton, OK 73505-5977
Phone
(580) 248-8000
Fax
(580) 248-8001
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23630 OK Primary

Addresses

Primary practice location

4411 W Gore Blvd
Ste B1
Lawton, OK 73505-5977

Mailing address

5903 NW Lincoln Ave
Lawton, OK 73505-1306
Phone (580) 704-7906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000344 OK Practitioner - Family Practice 5597774299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4411 W Gore Blvd
Lawton, OK 73505-5977
Phone (580) 248-8000

Hospital & facility affiliations

  • Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
  • Carter Healthcare of Southwest Oklahoma, LLC Home health agency, Lawton, OK, CCN 377636
  • Centric Home Health Home health agency, Durant, OK, CCN 377791
  • Enhabit Home Health of Western Oklahoma Home health agency, Lawton, OK, CCN 377730
  • Elara Caring Xxiv Home health agency, Lawton, OK, CCN 377660
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Southwestern Medical Center Hospital, Lawton, OK, CCN 370097

Merit-based Incentive Payment System (MIPS)

Final score
92.1 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
73.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23630OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jaroslaw K Paszkowiak MD PC Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4411 W Gore Blvd
Ste B1
Lawton, OK 73505
Phone (580) 248-8000

4411 W Gore Blvd
#B1B2
Lawton, OK 73505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHECD/Endpoint/HIHECD

Organizations & group practices 4

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 9

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1205899333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 NW LINCOLN AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051306",
            "telephone_number": "580-704-7906",
            "fax_number": "580-248-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD",
            "address_2": "STE B1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-248-8000",
            "fax_number": "580-248-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASZKOWIAK",
        "first_name": "JAROSLAW",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.