Kathryn Emiko Wayman, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

17680 Issued in OR

Practice address

842 E Main St
Medford, OR 97504-7134

Phone

(541) 773-7273

Fax

(541) 773-2027

NPI assigned

Jul 4, 2006

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Associates of Medford PC

  • Anesthesiology Physician
  • Medford, OR
  • NPI 1073543963
  Medicare reassignment NPD
• Asante

  dba Asante Rogue Regional Medical Center

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Medicare reassignment NPD
• Asante

  dba Heimann Cancer Center

  • Specialty Pharmacy
  • Medford, OR
  • NPI 1699426684
  NPD
• Active Health Chiropractic, PC

  • Chiropractor
  • Central Point, OR
  • NPI 1780989889
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1952331811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010132",
            "telephone_number": "541-773-7273",
            "fax_number": "541-773-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047134",
            "telephone_number": "541-773-7273",
            "fax_number": "541-773-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMAN",
        "first_name": "KATHRYN",
        "middle_name": "EMIKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "17680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043930",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Watts, FNP
• Jessica Watts, RDN
• Ronald Tomas Wavrin, R.PH.
• Therese Marguerite Wavrin, RPH
• Daniel Mac Dowell Wayman, MD
• Bren Wayside, QMHA-II, CRM-II, BSW
• Deborah Ann Weaver, COTA/L
• Alan J. Webb, M.D.
• Ashly A Webb
• Paula M Webb

• Anesthesiology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.