Individual provider · Type 1 NPI

Andrew John Itutud Derks, PHYSICIAN ASSISTANT

Physician Assistant · Fairfax, VA

NPI number 1295218089 Active

Practice location

8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110009513 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295218089

Andrew John Itutud Derks, PHYSICIAN ASSISTANT's National Provider Identifier is 1295218089, issued on Sep 8, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 10, 2025.