Active NPI
Myshka Clinic, PA
- Chiropractor
- Jonesboro, AR
National Provider Identifier
1104979665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1052
- Legal business name
- MYSHKA CLINIC, PA
- Practice address
- 2817 S Caraway Rd
Jonesboro, AR 72401-7305 - Phone
- (870) 932-5661
- Fax
- (870) 932-0890
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Jeannette Myshka, D.C.
- Title
- Owner
- Phone
- (870) 932-5661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1052 | AR | Primary |
Addresses
Primary practice location
2817 S Caraway Rd
Jonesboro, AR 72401-7305
Mailing address
2817 S Caraway Rd
Jonesboro, AR 72401-7305
Phone (870) 932-5661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59592 | Other | AR | AR BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2817 S Caraway Rd
Jonesboro, AR 72401
Phone (870) 932-5661
2817 S Caraway Rd
Ste B
Jonesboro, AR 72401
Phone (870) 932-5661
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jonesboro, AR
- NPI 1083711600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1104979665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 S CARAWAY RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017305",
"telephone_number": "870-932-5661",
"fax_number": "870-932-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 S CARAWAY RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017305",
"telephone_number": "870-932-5661",
"fax_number": "870-932-0890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYSHKA CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "MYSHKA",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "JEANNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-932-5661",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AR",
"license": "1052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS NUMBER",
"identifier": "59592",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.