NPIMap

Individual provider Active NPI

Walter Scott Waugh III, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1669531604
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25617 Issued in OK
Practice address
3410 NW 135TH St
Oklahoma City, OK 73120-4009
Phone
(405) 751-6111
Fax
(405) 751-0479
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25617 OK Primary

Addresses

Primary practice location

3410 NW 135TH St
Oklahoma City, OK 73120-4009

Mailing address

3410 NW 135TH St
Oklahoma City, OK 73120-4009
Phone (405) 751-6111

Other identifiers 1

IdentifierTypeStateIssuer
DU9341OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090610000369 OK Practitioner - Family PracticePractitioner - Sports Medicine 2466502695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3410 NW 135TH St
Oklahoma City, OK 73120-4009
Phone (405) 751-6111

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ok Medicine LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Integrative Medical Solutions PLLC Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Sports and Orthopedics Institute PLLC Past Accepting new patients
Eagle Community Clinic LLC Family Medicine Past Accepting new patients

Locations

65 S Saints Blvd
Edmond, OK 73034
Phone (405) 348-2323

3410 NW 135th St
Oklahoma City, OK 73120
Phone (405) 751-6111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16305/brand/1/csg/1/fhir/r4
  • Direct secure messaging: walter.waugh.1@16305.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1669531604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 NW 135TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204009",
            "telephone_number": "405-751-6111",
            "fax_number": "405-751-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 NW 135TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204009",
            "telephone_number": "405-751-6111",
            "fax_number": "405-751-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "WALTER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DU9341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.