Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

W Professional Surgical Services PLLC

Organization Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1861205379

W Professional Surgical Services PLLC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10001 Broadway Ext Ste A
Oklahoma City, OK 73114-6307
Phone: (405) 748-5950
Fax: (405) 607-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X

Record details

NPI number1861205379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Wayne — Physician & Owner · (405) 748-5950
Other names W Aesthetics
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address6608 N Western Ave # 416, Nichols Hills, OK 73116-7326

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