| Derek S Weaver Do Pllc | |
|
2935 Allen Rd Sunnyside WA 98944-8931 | |
| (509) 837-0070 | |
| (509) 837-0690 |
| Full Name | Derek S Weaver Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2935 Allen Rd, Sunnyside, Washington |
| Authorized Official Name and Position | Kathy Anderson (OFFICE MANAGER) |
| Authorized Official Contact | 5098370070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek S Weaver Do Pllc 2935 Allen Rd Sunnyside WA 98944-8931 Ph: (509) 837-0070 | Derek S Weaver Do Pllc 2935 Allen Rd Sunnyside WA 98944-8931 Ph: (509) 837-0070 |
| NPI Number | 1982081485 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8123322716 |
|---|---|
| Medicare Enrollment ID | O20160202000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982081485 | NPI | - | NPPES |
| 2045212 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | OP60139736 (Washington) | Primary |
| Provider Name | Judith K Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710901731 PECOS PAC ID: 2163473356 Enrollment ID: I20060320000108 |
| Provider Name | Derek S Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962660704 PECOS PAC ID: 8325220098 Enrollment ID: I20150617000232 |
| Provider Name | Paul A Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053654913 PECOS PAC ID: 5496094146 Enrollment ID: I20190225002398 |
| Provider Name | Corryn Elizabeth Koopmans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538883699 PECOS PAC ID: 7517337645 Enrollment ID: I20230105001058 |
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