Adam Thomas Cherry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60549062 Issued in WA

Practice address

1152 Douglas St
Longview, WA 98632-2452

Phone

(360) 940-0880

Fax

(844) 697-8702

NPI assigned

Feb 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, OR2 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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Columbia Medical PLLCGroup PAC ID 0840630109, 5 clinicians

NW Allergy and Asthma Specialists,LLCGroup PAC ID 5496658254, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia Medical PLLC

  dba Columbia Allergy

  • Allergy & Immunology Physician
  • Longview, WA
  • NPI 1962265900
  Medicare reassignment Care Compare group
• NW Allergy & Asthma Specialists,LLC

  dba Asthma Allergy Centre

  • Allergy & Immunology Physician
  • Beaverton, OR
  • NPI 1215928668
  Medicare reassignment Care Compare group
• Peacehealth

  dba PeaceHealth Southwest Medical Center

  • General Acute Care Hospital
  • Vancouver, WA
  • NPI 1134178999
  Medicare reassignment
• PDX Allergy LLC

  • Allergy & Immunology Physician
  • Clackamas, OR
  • NPI 1447874367
  NPD (past)
• Questcare Acute Services PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1740413699

  Physician Assistant

  NPD (past)
• Questcare Em Oklahoma LLC

  • Emergency Medicine Physician
  • Edmond, OK
  • NPI 1063755023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1770805673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43575 MISSION BLVD STE 716",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395831",
            "telephone_number": "408-476-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 DOUGLAS ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322452",
            "telephone_number": "360-940-0880",
            "fax_number": "844-697-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "ADAM",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60549062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044894",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Renee Charlton, PT
• Kodee Paul Chase, AAC
• Alejandra E Chavez Messner
• Jocelyn M Cheeseman
• Edward Cheng, M.D.
• Dru Cherry
• Chad C Chesley, M.D.
• Susan Lynn Chesley, CRNA
• Ian Matthew Cheslock
• John N Cheslock, OD

• Physician Assistant in Longview, WA
• Providers in Longview, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.