Active NPI
Sean Garland Cherry, PA-C
- Physician Assistant
- Elma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.61098767
- Practice address
- 600 E Main St
Elma, WA 98541-9560 - Phone
- (360) 346-2222
- Fax
- (360) 346-2191
- NPI assigned
- Aug 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19877 | CA | |
| Physician Assistant | 363A00000X | 19877 | CA | |
| Physician Assistant | 363A00000X | PA.61098767 | WA | Primary |
Addresses
Primary practice location
600 E Main St
Elma, WA 98541-9560
Mailing address
305 East Center Ave/
Visalia, CA 93291-6331
Phone (559) 737-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004001493 | CA | Practitioner - Physician Assistant | 4789876137 | Reassigns benefits to 1 organization |
| I20201221002616 | WA | Practitioner - Physician Assistant | 4789876137 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grays Harbor County Public Hospital District No 1
Practice addresses (Care Compare)
579 E Main St
Elma, WA 98541-9551
Phone (360) 346-2222
600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222
610 E Main St
Elma, WA 98541-9353
Phone (360) 346-2222
Hospital & facility affiliations
- Summit Pacific Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19877 | CA | MD | Physician Assistant |
| PA.61098767 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Physician Assistant | Current | Accepting new patients |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No. 1 | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No 1 | Past | Accepting new patients |
Locations
12586 Avenue 408
Orosi, CA 93647
Phone (559) 528-2804
1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242
31180 Road 72
Visalia, CA 93291
Phone (559) 651-2301
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
600 E Main St
Elma, WA 98541
Phone (360) 346-2222
610 E Main St
Elma, WA 98541
Phone (360) 346-2222
10217 125th Street Ct E
Fl 2
Puyallup, WA 98374
Phone (253) 864-4550
Interoperability endpoints
- scherry502130@direct.multicare.org
- https://fhir4.healow.com/fhir/r4/CCECCA
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
WA
-
- Rural Health Clinic/Center
- Elma, WA
- NPI 1083202907
-
- Rural Health Clinic/Center
- McCleary, WA
- NPI 1255401683
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
WA
-
- Medicare Defined Swing Bed Hospital Unit
- Elma, WA
- NPI 1750554366
-
- Rural Health Clinic/Center
- Elma, WA
- NPI 1811025216
-
- Rural Health Clinic/Center
- Elma, WA
- NPI 1942554183
-
- Federally Qualified Health Center (FQHC)
- Lakewood, WA
- NPI 1801204078
Physician Assistant
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1104074533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EAST CENTER AVE/",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "559-737-4700",
"fax_number": "559-737-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E MAIN ST",
"city": "ELMA",
"state": "WA",
"postal_code": "985419560",
"telephone_number": "360-346-2222",
"fax_number": "360-346-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "SEAN",
"middle_name": "GARLAND",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19877",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "19877",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.61098767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.