IVAN WAYNE MD NPI 1134198260

NPI Information

  • NPI: 1134198260
  • Provider Name: IVAN WAYNE, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10001 BROADWAY EXT STE A
    OKLAHOMA CITY, OK
    ZIP 73114
  • Phone: (405) 748-5950

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NPI Details

Ivan Wayne, MD is a facial plastic surgery otolaryngology in Oklahoma City, OK with 30 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Ivan Wayne, MD NPI is 1134198260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK
ZIP 73114-307
Phone: (405) 748-5950
Fax: (405) 607-3580

The NPI 1134198260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Repair of nasal passage (HCPCS:30465)

The enumeration date for this NPI number is 3/14/2006 and was last updated on 1/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology22995OKLAHOMANo
2207YS0123XOtolaryngologyFacial Plastic Surgery22995OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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