W Professional Surgical Services PLLC
NPI 1861205379ActiveOrganization· Otolaryngology, Plastic Surgery within the Head & Neck· Oklahoma City, OK
Otolaryngology, Plastic Surgery within the Head & Neck in Oklahoma City, Oklahoma, registered in NPPES in January 2025. The authorized official on file is Ivan Wayne, MD, Physician & Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861205379 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2025 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Plastic Surgery within the Head & Neck Primary | 207YX0007X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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