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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TANNER SCOTT SUPANCHICK
NPI 1174422349
Physician Assistant in Spokane, WA

Active since November 04, 2026
6924 N FOTHERINGHAM ST, SPOKANE, WA 99208(509) 638-8845 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tanner Scott Supanchick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER SCOTT SUPANCHICK (NPI 1174422349) is an individual physician assistant in Spokane, Washington and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1174422349
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTANNER SCOTT SUPANCHICK
Location Address6924 N FOTHERINGHAM STSpokane, WA 99208-4723
Mailing Address6924 N Fotheringham StSpokane, WA 99208-4723 · (509) 638-8845
Phone(509) 638-8845
Sole ProprietorNo
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1174422349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6924 N FOTHERINGHAM ST, Spokane, WA 99208
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Supanchick's NPI number?

The NPI number for Tanner Supanchick is 1174422349. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Where is Tanner Supanchick located?

Tanner Supanchick practices at 6924 N Fotheringham St, Spokane, WA 99208. The listed phone number is (509) 638-8845.

What is Tanner Supanchick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tanner Supanchick was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.