W MEDICAL SERVICES NPI 1912717711

NPI Information

  • NPI: 1912717711
  • Provider Name: W MEDICAL SERVICES
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Doing Business As: W AESTHETICS
  • Address: 10001 BROADWAY EXT STE A
    OKLAHOMA CITY, OK
    ZIP 73114
  • Phone: (405) 748-5950

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NPI Details

W MEDICAL SERVICES is a plastic surgery within the head and neck otolaryngology in Oklahoma City, OK. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. W MEDICAL SERVICES NPI is 1912717711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As W Aesthetics.

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 provider's authorized official is Ivan Wayne .
The authorized official title is Owner/authorized Official and has the following contact phone number (405) 748-5950.

The enumeration date for this NPI number is 1/13/2025 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
1207Y00000XOtolaryngologyNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckYes

What is NPI?

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

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