W Professional Surgical Services PLLC
NPI 1861205379 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Oklahoma City, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
W Professional Surgical Services PLLC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician organization in Oklahoma City, OK (NPI 1861205379).
Provider details
- NPI number
- 1861205379
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ivan Wayne, Physician & Owner(405) 748-5950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- W Aesthetics
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is W Professional Surgical Services PLLC's NPI number?
- W Professional Surgical Services PLLC's National Provider Identifier (NPI) is 1861205379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is W Professional Surgical Services PLLC?
- W Professional Surgical Services PLLC is classified in the NPPES registry as Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is W Professional Surgical Services PLLC located?
- W Professional Surgical Services PLLC's practice location on file with NPPES is 10001 Broadway Ext Ste a, Oklahoma City, OK 73114-6307.
- What is W Professional Surgical Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for W Professional Surgical Services PLLC is (405) 748-5950.
- Does W Professional Surgical Services PLLC accept Medicare?
- W Professional Surgical Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for W Professional Surgical Services PLLC?
- The authorized official listed on W Professional Surgical Services PLLC's NPPES record is Ivan Wayne, Physician & Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is W Professional Surgical Services PLLC's NPI active?
- Yes — W Professional Surgical Services PLLC's NPI (1861205379) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.