Provider Demographics
NPI:1316170434
Name:BILLINGS, WAYLAND R (DO)
Entity type:Individual
Prefix:DR
First Name:WAYLAND
Middle Name:R
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6161 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1902
Mailing Address - Country:US
Mailing Address - Phone:918-494-2226
Mailing Address - Fax:918-494-2299
Practice Address - Street 1:10 S TREATY RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-5330
Practice Address - Country:US
Practice Address - Phone:918-238-3074
Practice Address - Fax:918-238-3076
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK4881207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200296960AMedicaid
OK100736700NMedicaid
OK200296960AMedicaid
OK261761YKW9Medicare PIN