Organization Active NPI

Tyler R Wayment MD PC

  • Specialist
  • Twin Falls, ID
National Provider Identifier
1942221296
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M9557 Issued in ID
Legal business name
TYLER R WAYMENT MD PC
Practice address
1880 Fillmore Ave N
Twin Falls, ID 83301-3015
Phone
(208) 735-8386
Fax
(208) 735-0434
NPI assigned
Jul 22, 2006
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Tyler Wayment, MD
Title
Owner
Phone
(208) 735-8386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M9557 ID Primary

Addresses

Primary practice location

1880 Fillmore Ave N
Twin Falls, ID 83301-3015

Mailing address

1880 Fillmore Street
Twin Falls, ID 83301-3015
Phone (208) 735-8386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1942221296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 FILLMORE STREET",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013015",
            "telephone_number": "208-735-8386",
            "fax_number": "208-735-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 FILLMORE AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013015",
            "telephone_number": "208-735-8386",
            "fax_number": "208-735-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER R WAYMENT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "WAYMENT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-735-8386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M9557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.