Wayne Robert Kidder, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

GFE13564 Issued in CA

Practice address

915 Via Los Padres
Santa Barbara, CA 93111-1325

Phone

(805) 967-6993

NPI assigned

Jan 16, 2013

Last updated

Jan 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1720325350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 VIA LOS PADRES",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111325",
            "telephone_number": "805-967-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 VIA LOS PADRES",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111325",
            "telephone_number": "805-967-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "WAYNE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "GFE13564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishika Khanna
• Pavani Khera
• Mellad Michael Khoshnood, MD
• Jacob Khuri, DO, MPH
• Ladann Kiassat
• Japrese Monique Kidwell
• Lisa Catherine Humme Kiefer, FNP
• Claire Kiffe
• Robert Steven Kiken, DDS
• Taylor Kilbride

• Hematology & Oncology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.