Derek S Weaver DO PLLC
NPI 1982081485ActiveOrganization· Family Medicine· Sunnyside, WA
Family Medicine in Sunnyside, Washington, registered in NPPES in May 2015. The authorized official on file is Derek S. Weaver, DO, Physician/Owner. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1982081485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2015 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OP60139736 | WA |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
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 A Provider - Rural Health Clinic (WA); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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