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W PROFESSIONAL SURGICAL SERVICES PLLC
NPI 1861205379
Otolaryngology - Plastic Surgery within the Head & Neck in Oklahoma City, OK

Active since January 29, 2025
10001 BROADWAY EXT STE A, OKLAHOMA CITY, OK 73114(405) 748-5950(405) 607-3580 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About W Professional Surgical Services Pllc NPPES

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

W PROFESSIONAL SURGICAL SERVICES PLLC (NPI 1861205379), doing business as W Aesthetics, is a healthcare organization registered as a plastic surgery within the head & neck in Oklahoma City, Oklahoma and active in the NPI registry since January 2025. The organization lists Ivan Wayne, Physician & Owner, as its authorized official.

NPPES Registry Identity

NPI1861205379
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameW PROFESSIONAL SURGICAL SERVICES PLLC
Location Address10001 BROADWAY EXT STE AOklahoma City, OK 73114-6307
Mailing Address6608 N Western Ave # 416Nichols Hills, OK 73116-7326 · (405) 748-5950 · Fax (405) 607-3580
Phone(405) 748-5950
Fax(405) 607-3580
Organization SubpartNo
Authorized OfficialIvan WaynePhysician & Owner · (405) 748-5950
Enumeration DateJanuary 29, 2025
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1861205379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
10001 BROADWAY EXT STE A, Oklahoma City, OK 73114
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Other Names 1

Doing Business AsW Aesthetics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVAN WAYNE MD
Otolaryngology (Facial Plastic Surgery)
10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 748-5950
W MEDICAL SERVICES
Otolaryngology (Plastic Surgery within the Head & Neck)
10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 748-5950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W Professional Surgical Services PLLC's NPI number?

The NPI number for W Professional Surgical Services PLLC is 1861205379. It was assigned to this organization in the NPPES registry on January 29, 2025. The provider is doing business as W Aesthetics.

Where is W Professional Surgical Services PLLC located?

W Professional Surgical Services PLLC is located at 10001 Broadway Ext Ste A, Oklahoma City, OK 73114. The listed phone number is (405) 748-5950.

What is W Professional Surgical Services PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

When was this NPI record last updated?

The NPPES record for W Professional Surgical Services PLLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.