Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jefferson Intensivist Group PA

Organization Emergency Medicine Physician · NPI 1558023457

Jefferson Intensivist Group PA is an Emergency Medicine Physician in Beaumont, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2830 Calder St
Beaumont, TX 77702-1809
Phone: (409) 899-7009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X
Emergency Medicine Physician Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1558023457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Pawlowski — Director/Offic · (337) 609-1221
NPI enumeratedOctober 7, 2021
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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