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

Ivan Wayne, MD

Individual provider Otolaryngology Physician · NPI 1134198260

Ivan Wayne, MD is an Otolaryngology in Oklahoma City, Oklahoma. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
30
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 22995 (OK)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 22995 (OK)

Record details

NPI number1134198260
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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