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

Mr. Timothy L. Weide, PA

Individual provider Physician Assistant · NPI 1861600017

Mr. Timothy L. Weide, PA is a Physician Assistant in Derby, Kansas. Qualified in 2000, 26 years ago. Practices with Derby Derm, a 2-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
26
Licensed in
KS
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1121 N College Park St Ste # 400
Derby, KS 67037-3665
Phone: (316) 788-3376
Fax: (316) 788-3378
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1500761 (KS)

Record details

NPI number1861600017
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2007
Last updated in NPPESFebruary 1, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Derby Derm — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Derby