WEESE DERMATOLOGY PC
NPI 1790176949
Specialist in Roseburg, OR

Q: What is Weese Dermatology PC's NPI number?

The NPI number for Weese Dermatology PC is 1790176949. It was assigned to this organization in the NPPES registry on February 10, 2015.

Q: What is Weese Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 10, 2015

2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471(541) 957-1141(541) 957-1466 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Weese Dermatology Pc NPPES

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

WEESE DERMATOLOGY PC (NPI 1790176949) is a healthcare organization registered as a specialist in Roseburg, Oregon and active in the NPI registry since February 2015. The organization lists Kaylan L Weese, Owner, as its authorized official.

NPPES Registry Identity

NPI1790176949

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameWEESE DERMATOLOGY PC

Location Address2440 NW EDENBOWER BLVDRoseburg, OR 97471-8847

Mailing Address2440 Nw Edenbower BlvdRoseburg, OR 97471-8847 · (541) 957-1141 · Fax (541) 957-1466

Phone(541) 957-1141

Fax(541) 957-1466

Organization SubpartNo

Authorized OfficialKaylan L WeeseOwner · (541) 957-1141

Enumeration DateFebruary 10, 2015

✔ NPI 1790176949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD167536

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2440 NW EDENBOWER BLVD, Roseburg, OR 97471

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Weese Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Weese Dermatology PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Kaylan Weese, M.D.

Dermatology

NPI 1134449366

2440 NW EDENBOWER BLVD
Roseburg, OR 97471

(541) 957-1141

✔ PECOS✔ Accepts MedicareSame address

Michael Heath, MD

Dermatology

NPI 1437670338

2440 NW EDENBOWER BLVD
Roseburg, OR 97471

(541) 957-1141

✔ PECOS✔ Accepts MedicareSame address

Katherine Braunlich, D.O

Dermatology

NPI 1326496522

2440 NW EDENBOWER BLVD
Roseburg, OR 97471

(541) 957-1141

✔ PECOS✔ Accepts MedicareSame address

Hannibal Eccles, MD

Dermatology

NPI 1770878837

920 COUNTRY CLUB RD STE 140A
Eugene, OR 97401

(665) 993-3768

✔ PECOS✔ Accepts Medicare59 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Weese Dermatology PC's NPI number?

The NPI number for Weese Dermatology PC is 1790176949. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Weese Dermatology PC located?

Weese Dermatology PC is located at 2440 NW Edenbower Blvd, Roseburg, OR 97471. The listed phone number is (541) 957-1141.

What is Weese Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Weese Dermatology PC enrolled in Medicare?

Yes. Weese Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Weese Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Weese Dermatology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Weese Dermatology PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Weese Dermatology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Weese Dermatology PC was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.