DR. DANIEL MAC DOWELL WAYMAN (NPI# 1952476350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952476350 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MAC DOWELL WAYMAN |
| Other Name | DR. DANIEL MAC DOWELL WAYMAN |
| Credential | MD |
| Practice Address |
555 Black Oak Dr Suite 210 Medford OR 97504-8447 |
| Practice Telephone | 5417343540 |
| Practice Fax Number | 5417343597 |
| Mailing Telephone | 5417343540 |
| Mailing Fax Number | 5417343597 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD17390 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 027792 | 05 | |
| CA | MEDICAL LIC CALIF | G62052 | 01 |
| OR | DEA | BW1275305 | 01 |
| OR | TAX ID | 931274301 | 01 |
| CA | MEDICAL ID | XPY124720 | 01 |
| OR | MEDICAL LIC OR | MD17390 | 01 |
| OR | BLUE CROSS | 4004301-01 | 01 |
| Street Address |
555 BLACK OAK DR SUITE 210 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661912 | Nancy J. Keeley | Nurse Practitioner | 555 Black Oak Dr, Suite 100, Medford, OR 97504-8447 | 2005-06-30 |
| 1497218614 | Rachel Dunn | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-04-14 |
| 1073079430 | Kathryn Hardaway | Registered Nurse | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-02-11 |
| 1124582820 | Dana Andrew Teszler | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-01-27 |
| 1518435585 | Jesse Hodson | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2018-11-08 |
| 1578089108 | Jennifer May Foltz | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2017-08-15 |
| 1194255950 | Greg D Smith | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504 | 2017-06-14 |
| 1386192391 | Sarah Elizabeth White | Pharmacist | 555 Black Oak Dr, Medford, OR 97504-8447 | 2016-09-19 |
| 1326474800 | Laura Marie Ulloa | Social Worker | 555 Black Oak Dr, Medford, OR 97504-8447 | 2013-09-17 |
| 1891133369 | David L Moore | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851514343 | Michelle Bleynat Vessely | Otolaryngology | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062-9762 | 2007-04-11 |
| 1073041158 | Courtney Marie Wedgeworth | Otolaryngology | 537 Union Ave, Grants Pass, OR 97527-5543 | 2017-06-01 |
| 1447632328 | Ear, Nose and Throat Associates, LLC. | Otolaryngology | 900 Se Oak St Ste 201, Hillsboro, OR 97123-4287 | 2015-06-26 |
| 1952672289 | David Sining Chen | Otolaryngology | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2012-01-18 |
| 1619028693 | Steven P Gabel, Md, PC | Otolaryngology | 12115 Sw 70th Ave Ste 200, Tigard, OR 97223 | 2007-01-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.