Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Spencer Laine Fodczuk, MPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1831253145

Mr. Spencer Laine Fodczuk, MPAS, PA-C is a Physician Assistant in Puyallup, Washington. Graduated from University of Nebraska College of Medicine in 2004, 22 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Trained at
University of Nebraska College of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3908 10th St SE
Puyallup, WA 98374-2188
Phone: (253) 848-5951
Fax: (253) 845-7073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60344476 (WA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1831253145
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2006
Last updated in NPPESJanuary 25, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Puyallup