Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW JOHN ITUTUD DERKS, PHYSICIAN ASSISTANT
ActiveANDREW JOHN ITUTUD DERKS, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1295218089 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFAX, VA
Registration Details
- NPI Number
- 1295218089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2018 (7.8921460862122 yrs)
- Last Updated
- Nov 10, 2025
- License
-
0110009513 (VA)
Practice Information
- Address
-
8260 WILLOW OAKS CORPORATE DR STE 650FAIRFAX, VA, 220314531Browse VA providers · Browse ZIP 22031
- Phone
- 7037762000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DAMON J LICARI | PA | 1962495069 |
| MRS. JULIE B CROCKER | PA | 1346235843 |
| SORAYA YUNUS | P.A. | 1285620567 |
| MR. PAUL DAVID FALKENSTEIN | PAC | 1558337048 |
| STEPHANIE ANNE SHEPARD | PA | 1396705174 |
| MAGGIE LYNN IPSARO | PA-C | 1376509109 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.