Mary Katherine Jaworski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107931 Issued in FL

Practice address

3313 W Hillsboro Blvd
Deerfield BCH, FL 33442-9423

Phone

(949) 954-2100

Fax

(954) 949-2111

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Katherine Johnson Former name

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.32 of 100Reported as group

Quality

41.6

Promoting interoperability

95

Improvement activities

40

Cost

76.98

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjohnson@brrh.gwaydirect.com

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.

• Baptist Outpatient Services Inc

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1437127529
  Medicare reassignment Care Compare group NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1962783589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 VENETIAN WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33406",
            "telephone_number": "717-793-0253",
            "fax_number": "954-949-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334429423",
            "telephone_number": "949-954-2100",
            "fax_number": "954-949-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JOHNSON",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isel Huelbes
• Petagaye Hutchinson
• Johnneisha Jackson
• Burnaur Copeland James
• Dynah Karyn James
• Mya Johnson
• Yolanda Johnson
• Katesha Jones
• Octavia Jones
• Alexandra Joseph

• Physician Assistant in Deerfield BCH, FL
• Providers in Deerfield BCH, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.