Suzie Q Schwarz, PA
Individual provider Active NPI Physician Assistant · Adak, AK
NPI 1144644451 · NPPES record last updated Feb 6, 2014
Key facts
- NPI
- 1144644451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2314 (AK)
- Practice address
- 2105 Main Street
Adak, AK 99546-2105 - Phone
- (907) 564-2512
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170 | AK | MD | Family Medicine Physician |
| 2314 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Coast Hospital | Current |
Accepting new patients | |
| Sutter Coast Hospital | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc. | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients |
Locations
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
Interoperability endpoints
- sschwarz309026@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2314 | AK | Yes |
Addresses
Primary practice location
2105 Main Street
Adak, AK 99546-2105
Mailing address
3380 C St
Suite 100
Anchorage, AK 99503-3949
Phone (907) 564-2512
Other providers in Adak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.