Provider Demographics
NPI:1871660209
Name:WAYMENT, DON M (DO)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:M
Last Name:WAYMENT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2020 PALOMINO LANE
Mailing Address - Street 2:#100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4894
Mailing Address - Country:US
Mailing Address - Phone:702-759-8600
Mailing Address - Fax:702-384-1815
Practice Address - Street 1:2020 PALOMINO LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4894
Practice Address - Country:US
Practice Address - Phone:702-759-8600
Practice Address - Fax:702-384-1815
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2017-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVDO18942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID004316000Medicaid
NVP01370749OtherRR MEDICARE DRS
NV1871660209Medicaid
IDHBEQ2OtherBLUE CROSS
NVP01370757OtherRR MEDICARE DR
ID000010001375OtherBLUE SHIELD
NVP01370749OtherRR MEDICARE DRS
NV1871660209Medicaid
ID000010001375OtherBLUE SHIELD
IDHBEQ2OtherBLUE CROSS