Derby Derm
NPI 1871771998ActiveOrganization· Physician Assistant· Derby, KS
Physician Assistant in Derby, Kansas, registered in NPPES in January 2008. The authorized official on file is Tim Weide, P.A., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871771998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2008 |
| Last updated in NPPES | Jan 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1500761 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS) |
|---|
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