DEREK S WEAVER DO PLLC (NPI# 1982081485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982081485 |
| Entity Type | Organization |
| Organization Name | DEREK S WEAVER DO PLLC |
| Other Organization Name | WEAVER FAMILY MEDICINE |
| Practice Address |
2935 Allen Rd Sunnyside WA 98944-8931 |
| Practice Telephone | 5098370070 |
| Practice Fax Number | 5098370690 |
| Mailing Telephone | 5098370070 |
| Mailing Fax Number | 5098370690 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | SHELLI DION (CLINIC MANAGER) |
| Authorized Official Telephone | 5098370070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OP60139736 | WA | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2045212 | 05 |
| Other Name | Type Code |
|---|---|
| Weaver Family Medicine | Doing Business As Name - Organization |
| Street Address |
2935 ALLEN RD |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710901731 | Judith K Harvey | Family Medicine | 2935 Allen Rd, Sunnyside, WA 98944-8931 | 2006-07-26 |
| 1013284884 | Paul Rodney Furan | Physician Assistant | 2935 Allen Rd, Sunnyside, WA 98944-8931 | 2011-11-22 |
| 1376858209 | Tyrell P Nielson | Physician Assistant | 2935 Allen Rd, Sunnyside, WA 98944-8931 | 2010-08-16 |
| 1902138860 | Jason D Redd | Physician Assistant | 2935 Allen Rd, Sunnyside, WA 98944-8931 | 2010-02-03 |
| 1962660704 | Derek Samuel Weaver | Family Medicine | 2935 Allen Rd, Sunnyside, WA 98944-8931 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.