Tyrell P Nielson (NPI# 1376858209, PAC ID# 0941496376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1376858209 |
| PAC ID by PECOS | 0941496376 |
| Professional Enrollment ID | I20150930000130 |
| Full Name | Tyrell P Nielson |
| Organization Legal Name | DEREK S WEAVER DO PLLC |
| Address |
2935 Allen Rd Sunnyside WA 98944-8931 |
| Phone Number | 5098370070 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123322716 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501312 | PROSSER MEMORIAL HOSPITAL |
| 501330 | SUNNYSIDE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2935 Allen Rd, Sunnyside, WA 98944-8931 | 5098370070 | DEREK S WEAVER DO PLLC |
| Organization Legal Name | DEREK S WEAVER DO PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Redd | Physician Assistant | Derek S Weaver Do Pllc | 2935 Allen Rd, Sunnyside, WA 98944-8931 |
| Derek S Weaver | Family Medicine | Derek S Weaver Do Pllc | 2935 Allen Rd, Sunnyside, WA 98944-8931 |
| Street Address |
2935 ALLEN RD |
| City | SUNNYSIDE |
| State | WA |
| Zip | 98944-8931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Redd | Physician Assistant | Derek S Weaver Do Pllc | 2935 Allen Rd, Sunnyside, WA 98944-8931 |
| Derek S Weaver | Family Medicine | Derek S Weaver Do Pllc | 2935 Allen Rd, Sunnyside, WA 98944-8931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Campos | Clinical Social Worker | Yakima Neighborhood Health Services | 617 Scoon Rd, Sunnyside, WA 98944-1031 |
| Jamal Masalmeh | Optometry | Yakima Neighborhood Health Services | 617 Scoon Rd, Sunnyside, WA 98944-1031 |
| Heather Stickle | Nurse Practitioner | Yakima Valley Farm Workers Clinic | 2680 Yakima Valley Hwy B, Sunnyside, WA 98944-1242 |
| Danny M Thibault | Nurse Practitioner | Yakima Valley Farm Workers Clinic | 2680 Yakima Valley Hwy B, Sunnyside, WA 98944-1242 |
| Maria Thibault | Nurse Practitioner | Yakima Valley Farm Workers Clinic | 2680 Yakima Valley Hwy B, Sunnyside, WA 98944-1242 |
| Richard Lemieux | Chiropractic | 1301 E Edison Ave, Sunnyside, WA 98944-1620 | |
| Micah L Heeringa | Physical Therapy | Sunnyside Physical and Sports Therapy | 1405 E Edison Ave, Sunnyside, WA 98944-1622 |
| Marlene T Vanwingerden | Physical Therapy | Sunnyside Physical and Sports Therapy | 1405 E Edison Ave, Sunnyside, WA 98944-1622 |
| William D Harrington | Chiropractic | 1120 S 4th St, Sunnyside, WA 98944-2185 | |
| Victor Withers | Occupational Therapy | Complete Therapy Services, Pllc | 716 E Edison Ave, Sunnyside, WA 98944-2204 |
| Find all physicians in zip 98944 | |||
| City | SUNNYSIDE |
| Zip Code | 98944 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUNNYSIDE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tyrell P Nielson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.