1. Home
  2. Directory
  3. Nevada
  4. Nellis Afb
  5. Internal Medicine
  6. NPI Profile

DERRIC A. WHITESIDE D.O.
NPI 1083877518
Internal Medicine in Nellis Afb, NV

Active since July 03, 2008
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Aug 7, 2023, Jun 10, 2021 and 1 more (4 updates tracked since 2018).

About Derric A. Whiteside D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRIC A. WHITESIDE D.O. (NPI 1083877518) is an individual internal medicine provider in Nellis Afb, Nevada, licensed in Virginia (0102203353) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1083877518
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDERRIC A. WHITESIDECredential: D.O.
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273
Phone(702) 653-2273
Sole ProprietorYes
Enumeration DateJuly 3, 2008
Last NPPES UpdateOctober 25, 20254 updates tracked since enumeration
NPPES CertifiedOctober 25, 2025
✔ NPI 1083877518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0102203353✔ Licensed in IN · 02003810A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA A KOENIGSBERGER MD
Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2267
KATRINA BAUMANN DPT
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
JAMEAKA L. HAMILTON M.D.
Obstetrics & Gynecology
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2300
SOUKAINA NOOR MD
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
EDWARD KEMPTON MD
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
DR. AARON JOSEPH WOLBRUECK DO
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
MARIA M ARAQUE PHARMD
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3202
DR. SHUBHANG N MAZUMDAR M.D.
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derric Whiteside's NPI number?

The NPI number for Derric Whiteside is 1083877518. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Derric Whiteside located?

Derric Whiteside practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.

What is Derric Whiteside's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Derric Whiteside was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.