Eldon Lester Leinweber, PA-C
Individual provider Active NPI Physician Assistant · Soap Lake, WA
NPI 1730148958 · NPPES record last updated Mar 7, 2023
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Aug 20, 2025.
Key facts
- NPI
- 1730148958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA10004217 (WA)
- Practice address
- 22 West Highway 28
Soap Lake, WA 98851 - Phone
- (509) 888-9606
- Fax
- (509) 683-1135
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004217 | WA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004217 | WA | Yes |
Addresses
Primary practice location
22 West Highway 28
Soap Lake, WA 98851
Mailing address
PO Box 1050
Soap Lake, WA 98851-1050
Phone (509) 888-9606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8418451 | Medicaid | WA | |
| 211648 | Other | WA | LABOR & INDUSTRIES ID # |
| 6612LE | Other | WA | REGENCE PROVIDER # |
| 0193143 | Other | WA | LABOR &INDUSTRIES ID # |
| 1051425 | Other | WA | NCCPA CERTIFICATION |
Other providers in Soap Lake, WA
- Jody Gustafson
- Jesse D Hannaford
- Alissa Rose Herbst
- Kandice Krause
- Mary Lou Langley
- Miller Relationship Center, PLLC
- Machelle R Miller
- Mary Ann Miller
- North Central Washington Health LLC
- Paul Armen Odian
All providers in Soap Lake, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.