DR. MAC THEODORE WAYMENT DO
NPI 1609088350
Pediatrics - Pediatric Critical Care Medicine in Folsom, CA

Q: What is Mac Wayment's NPI number?

The NPI number for Mac Wayment is 1609088350. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is Mac Wayment's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mac Wayment was last updated on November 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2007PECOS Enrolled

1700 PRAIRIE CITY RD, FOLSOM, CA 95630(916) 351-4800(916) 351-4899 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mac Theodore Wayment Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAC THEODORE WAYMENT DO (NPI 1609088350) is an individual pediatric critical care medicine provider in Folsom, California, licensed in California (20A9172) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609088350

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MAC THEODORE WAYMENTCredential: DO

Location Address1700 PRAIRIE CITY RDFolsom, CA 95630-9594

Mailing Address3400 Data Dr, Physician Support ServicesRancho Cordova, CA 95670-7956

Phone(916) 351-4800

Fax(916) 351-4899

Sole ProprietorYes

Enumeration DateMay 4, 2007

Last NPPES UpdateNovember 10, 2023

NPPES CertifiedNovember 10, 2023

✔ NPI 1609088350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · 20A9172

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 20A 9172 (CA)

1700 PRAIRIE CITY RD, Folsom, CA 95630

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mac Theodore Wayment Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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