DEREK E SUCHARDA PAC
NPI 1639282981
Physician Assistant in Walla Walla, WA

Active since August 17, 2006
380 CHASE ST, WALLA WALLA, WA 99362(509) 522-5820(509) 522-5570 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek E Sucharda Pac NPPES

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

DEREK E SUCHARDA PAC (NPI 1639282981) is an individual physician assistant in Walla Walla, Washington, licensed in Washington (PA10004244) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639282981
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK E SUCHARDACredential: PAC
Location Address380 CHASE STWalla Walla, WA 99362
Mailing AddressPo Box 2292Walla Walla, WA 99362 · (509) 522-5815 · Fax (509) 522-5818
Fax(509) 522-5570
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639282981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10004244
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.
380 CHASE ST, Walla Walla, WA 99362

Other Identifiers 3

Medicare ID-Type UnspecifiedAB27079WA
Medicare UPINP58827
Medicaid1081678WA

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
380 CHASE ST
WALLA WALLA, WA 99362
Internal Medicine
380 CHASE ST, INTERNAL MEDICINE
WALLA WALLA, WA 99362
Family Medicine
380 CHASE ST
WALLA WALLA, WA 99362
Internal Medicine
380 CHASE ST
WALLA WALLA, WA 99362
Family Medicine
380 CHASE ST
WALLA WALLA, WA 99362
Family Medicine
380 CHASE ST
WALLA WALLA, WA 99362

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 Derek Sucharda's NPI number?

The NPI number for Derek Sucharda is 1639282981. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Derek Sucharda located?

Derek Sucharda practices at 380 Chase St, Walla Walla, WA 99362. The listed phone number is (509) 522-5820.

What is Derek Sucharda's specialty?

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

What insurance does Derek Sucharda accept?

Health plans from PacificSource Health Plans list Derek Sucharda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Sucharda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.