Individual provider Active NPI

Susan Wingo, MD

  • Family Medicine Physician
  • De Queen, AR
National Provider Identifier
1730170168
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3749 Issued in AR
Practice address
1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone
(870) 642-7572
Fax
(870) 584-4100
NPI assigned
Nov 3, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3749 AR Primary

Addresses

Primary practice location

1306 W Collin Raye Dr
De Queen, AR 71832-2502

Mailing address

1306 W Collin Raye Dr
De Queen, AR 71832-2502
Phone (870) 642-7572

Other identifiers 1

IdentifierTypeStateIssuer
5M695OtherARAR BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000131 LA Practitioner - Emergency Medicine 0840186649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bienville Medical Center IncGroup PAC ID 5799870119, 3 clinicians

Practice addresses (Care Compare)

1175 Pine St
Suite 200
Arcadia, LA 71001-3122
Phone (318) 263-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Cotton Emergency Group, LLC CurrentSince Apr 1, 2019 Accepting new patients
Bienville Medical Center Inc CurrentSince Nov 11, 2022 Accepting new patients
De Queen Medical Center Inc Past Accepting new patients

Locations

1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

1175 Pine St
Arcadia, LA 71001
Phone (318) 263-4700

1175 Pine St
Ste 200
Arcadia, LA 71001
Phone (318) 263-4700

3800 Viking Dr
Bossier City, LA 71111
Phone (318) 226-8202

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448

Interoperability endpoints

  • Direct secure messaging: bmcswingo@yourcarecommunity.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730170168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322502",
            "telephone_number": "870-642-7572",
            "fax_number": "870-584-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322502",
            "telephone_number": "870-642-7572",
            "fax_number": "870-584-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5M695",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

Verify at the official NPI Registry.