Search › Oklahoma › 207YS0123X
Ivan Wayne, MD
NPI 1134198260 · on the registry since 2006
Practice
- Address
- 10001 Broadway Ext Ste A
Oklahoma City, OK 73114 - Phone
- (405) 748-5950
- Fax
- (405) 607-3580
- Organisation at this address
- W Medical Services
W Professional Surgical Services PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207YS0123X
207YS0123X
- Also registered as
- 207Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma