MEDICARE: ANDRZEJ J JAWORSKI M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	15540	WV
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	15540	WV
3	207RP1001X	Pulmonary Disease Physician	15540	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290003789	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033189766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRZEJ J JAWORSKI M.D

Provider Business Mailing Address
First Line	:	1200 J D ANDERSON DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3494
Country	:	US
Telephone Number	:	304-598-2801
Fax Number	:	304-599-6463

Provider Business Practice Location Address
First Line	:	1000 MON HEALTH MEDICAL PARK DR
Second Line	:	SUITE 1100
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1104
Country	:	US
Telephone Number	:	304-598-2801
Fax Number	:	304-599-6364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	04/02/2026

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