TAYLOR WEEDA (PA-C) – Physician Assistant, NPI 1891496469
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
896 PHYSICIAN ASSISTANT in NM
Provider Addresses for TAYLOR WEEDA (PA-C)
2111 COLLEGE DR
GALLUP, NM 873015600
Phone: (505) 397-5172
Fax: (877) 396-1184
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-18
PECOS data refreshed: 2026-06-15
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 87301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice | NM | |
| Family Practice | NM | |
| Family Practice | NM | |
| Internal Medicine | NM | |
| Clinical Psychologist | AZ | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| U R O L O G Y | NM |
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