Active NPI
James David Wayman, M.D.
- Obstetrics & Gynecology Physician
- Muskogee, OK
National Provider Identifier
1477560274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 11140
- Practice address
- 3401 W Broadway St
Muskogee, OK 74401-2136 - Phone
- (918) 687-5477
- Fax
- (918) 687-5481
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11140 | OK | Primary |
Addresses
Primary practice location
3401 W Broadway St
Muskogee, OK 74401-2136
Mailing address
3401 W Broadway St
Muskogee, OK 74401-2136
Phone (918) 687-5477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100729650A | Medicaid | OK | |
| 100100440A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J David Wayman MD PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Muskogee, OK
- NPI 1326208083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1477560274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012136",
"telephone_number": "918-687-5477",
"fax_number": "918-687-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012136",
"telephone_number": "918-687-5477",
"fax_number": "918-687-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMAN",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "11140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100729650A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100100440A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.