Derek E Sucharda in Walla Walla - Physician Assistant
Derek E Sucharda - NPI 1639282981
Derek E Sucharda is a Physician Assistant in Walla Walla, Washington. Derek E Sucharda practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derek E Sucharda is 1639282981. The last update date is 2007-07-08.
Derek E Sucharda's current location address is 380 Chase St, Walla Walla, Washington. You can contact this provider via phone number 5095225820 and fax number 5095225570. The mailing address for Derek E Sucharda is 380 Chase St, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek E Sucharda |
|---|---|
| Address | 380 Chase St, Walla Walla, Washington |
| Phone Number | 5095225820 |
| Fax Number | 5095225570 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1639282981 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 380 Chase St |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 99362 |
| Phone Number | 5095225820 |
| Fax Number | 5095225570 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004244 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1081678 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Derek E Sucharda by the Centers for Medicare & Medicaid Services?
The Derek E Sucharda has been issued the NPI (National Provider Identifier) 1639282981, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Derek E Sucharda is physically located?
The Derek E Sucharda is situated at the following address: 380 Chase St, Walla Walla, WA 99362.
What is Derek E Sucharda's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek E Sucharda's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639282981 to Derek E Sucharda?
The Derek E Sucharda received its 1639282981 assignment from the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the details related to Derek E Sucharda most recently updated or revised?
The information pertaining to Derek E Sucharda, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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