Abel Marcos Jurkowicz, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

111334 Issued in NY

Practice address

1602 SW 82ND St
Lawton, OK 73505-9012

Phone

(580) 536-0077

Fax

(580) 510-2725

NPI assigned

Aug 8, 2007

Last updated

Dec 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1346431822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SW 82ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059012",
            "telephone_number": "580-536-0077",
            "fax_number": "580-510-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SW 82ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059012",
            "telephone_number": "580-536-0077",
            "fax_number": "580-510-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOWICZ",
        "first_name": "ABEL",
        "middle_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "111334",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "111334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200121740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Justin Joyce, D.O.
• Juan R Lopez DDS
• Johnnie Judah
• Cooper Judd, PRSS
• Christopher Paul Juneau, DPT
• Dena J Justice, RN
• Aryan Parker Kadivar, M.D.
• Brittany Kalchik
• Jedidiah Kane, CRNA
• Roberta Hamm Kantowski, LCSW

• Child & Adolescent Psychiatry Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.