Organization Active NPI

Katherine Jawor DO PLLC

  • Psychiatry Physician
  • Muskegon, MI
National Provider Identifier
1790989192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101012270 Issued in MI
Legal business name
KATHERINE JAWOR DO PLLC
Practice address
427 Seminole Rd
Suite 101
Muskegon, MI 49444-3747
Phone
(231) 737-1213
Fax
(231) 737-1218
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Katherine A Jawor, D.O.
Title
Psychiatrist
Phone
(231) 737-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 5101012270 MI Primary

Addresses

Primary practice location

427 Seminole Rd
Suite 101
Muskegon, MI 49444-3747

Mailing address

427 Seminole Rd
Suite 101
Muskegon, MI 49444-3747
Phone (231) 737-1213

Other identifiers 2

IdentifierTypeStateIssuer
017514OtherMIPRIORITY HEALTH
2657010734OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

427 Seminole Rd
Ste 101
Norton Shores, MI 49444
Phone (231) 737-1213

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790989192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SEMINOLE RD",
            "address_2": "SUITE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443747",
            "telephone_number": "231-737-1213",
            "fax_number": "231-737-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SEMINOLE RD",
            "address_2": "SUITE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443747",
            "telephone_number": "231-737-1213",
            "fax_number": "231-737-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE JAWOR DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAWOR",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "231-737-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101012270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "017514",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2657010734",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.