Organization Active NPI

Myshka Clinic, PA

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1104979665
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1052 Issued in AR
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

Updated by the provider on Dec 15, 2025

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.NPI 1083711600
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
59592OtherARAR BCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130727000037 AR Part B Supplier - Clinic/Group Practice 6608842745 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.