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

Jaroslaw Michalik

Individual provider Surgery Physician · NPI 1093826950

Jaroslaw Michalik is a General Surgery in Sullivan, Missouri. Qualified in 1986, 40 years ago. Practices with Missouri Baptist Hospital of Sullivan, a 40-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
40
Licensed in
MO
In the registry since
2006

Practice location Address checks out

965 Mattox Dr
Sullivan, MO 63080-2365
Phone: (573) 860-6000
Fax: (573) 860-6016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 114756 (MO)

Record details

NPI number1093826950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Missouri Baptist Hospital Of Sullivan — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sullivan