Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Emeruwa

Individual provider Physician Assistant · NPI 1396252862

Avery Emeruwa is a Physician Assistant in Bellingham, Washington. Qualified in 2017, 9 years ago. Practices with Fourth Corner Neurosurgical Associates Inc Ps, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720
Phone: (360) 367-6092
Fax: (360) 671-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 — (516) 225-9031

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61174295 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 021653

Record details

NPI number1396252862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2018
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing address710 Birchwood Ave Ste 101, Bellingham, WA 98225-1720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fourth Corner Neurosurgical Associates Inc Ps — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bellingham