SUSAN CAROL ZWIASKA (NPI# 1851586713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851586713 |
| Entity Type | Individual |
| Full Name | SUSAN CAROL ZWIASKA |
| Other Name | SUSAN CAROL VAUGHN |
| Credential | PA-C |
| Practice Address |
2012 S Promenade Blvd Rogers AR 72758-9073 |
| Practice Telephone | 4796161485 |
| Practice Fax Number | 4792390536 |
| Mailing Telephone | 4796161485 |
| Mailing Fax Number | 4792390536 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PT2020-003 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1941 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1019178 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7061 Grand Montecito Pkwy, Las Vegas, NV 891490287 | 7028775199 |
| Street Address |
2012 S PROMENADE BLVD |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-9073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871570648 | Robert S Venable | Emergency Medicine | 2012 S Promenade Blvd, Rogers, AR 72758-9073 | 2005-12-22 |
| 1235629130 | Janice Lynn Wilson | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2018-05-16 |
| 1770071573 | Juanita Linn Williams | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2018-04-26 |
| 1225546161 | Natalie Mills Krodell | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2018-01-12 |
| 1528570819 | Donna Ann Dansby | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2017-10-26 |
| 1649548926 | Christy Ann Berry | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2011-12-01 |
| 1285956904 | Amanda K. Winfrey | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758-9073 | 2010-02-22 |
| 1730256926 | Donald William Walker | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2006-11-30 |
| 1952488660 | Carlos Alberto Suarez | Family Medicine | 2012 S Promenade Blvd, Rogers, AR 72758 | 2006-11-01 |
| 1295780690 | Donna Matlock | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| 1700351376 | Hailey Arens | Physician Assistant | 3300 S Market St Ste 118, Rogers, AR 72758-8127 | 2018-10-09 |
| 1184069304 | Kristina Kay Thissen | Physician Assistant | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2013-05-01 |
| 1164728739 | Debra Lou Tooker | Physician Assistant | 808 S 52nd St, Rogers, AR 72758-8602 | 2011-01-31 |
| 1417192774 | Shea S Arnold | Physician Assistant | 2708 S Rife Medical Ln, Suite 300, Rogers, AR 72758-1452 | 2008-12-15 |
| 1952310252 | Jamie L Gallagher | Physician Assistant | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.