Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derric A. Whiteside, DO

Individual provider Internal Medicine Physician · NPI 1083877518

Derric A. Whiteside, DO is an Internal Medicine Physician in Nellis AFB, Nevada. Practices as a sole proprietor. Licensed in Indiana and Virginia.

Licensed in
IN, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0102203353 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 02003810A (IN)

Record details

NPI number1083877518
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 3, 2008
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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