Individual provider Active NPI

Suzie Q Schwarz, PA

  • Physician Assistant
  • Adak, AK
National Provider Identifier
1144644451
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2314 Issued in AK
Practice address
2105 Main Street
Adak, AK 99546-2105
Phone
(907) 564-2512
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2314 AK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52748CAMDGeneral Practice Dentistry
1170AKMDFamily Medicine Physician
2314AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Coast Hospital CurrentSince Dec 29, 2018 Accepting new patients
Eastern Aleutian Tribes, Inc. Past Accepting new patients
Eastern Aleutian Tribes, Inc Past Accepting new patients
Sutter Coast Hospital 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

  • Direct secure messaging: sschwarz309026@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1144644451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 C ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033949",
            "telephone_number": "907-564-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MAIN STREET",
            "city": "ADAK",
            "state": "AK",
            "postal_code": "995462105",
            "telephone_number": "907-564-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "SUZIE",
        "middle_name": "Q",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adak, AK

Sources for this page

Verify at the official NPI Registry.