Individual provider Active NPI

Sean Garland Cherry, PA-C

  • Physician Assistant
  • Elma, WA
National Provider Identifier
1104074533
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.61098767 Issued in WA
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

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 1Group PAC ID 9032017256, 62 clinicians

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 Hospital, Elma, WA, CCN 501304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19877CAMDPhysician Assistant
PA.61098767WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Jun 27, 2022 Accepting new patients
Family Healthcare Network Current Accepting new patients
Sea Mar Community Health Centers Physician Assistant CurrentSince Oct 12, 2020 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Jun 27, 2022 Accepting new patients
Family Healthcare Network CurrentSince Sep 1, 2008 Accepting new patients
Family Healthcare Network Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 12, 2020 Accepting new patients
Family Healthcare Network Current Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Nov 13, 2025 Accepting new patients
Family Healthcare Network CurrentSince Sep 1, 2008 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

  • Direct secure messaging: scherry502130@direct.multicare.org
  • FHIR API: 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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.