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WAYT HEALTH CARE PLLC NPI 1952596769


NPI Information

NPI: 1952596769
Provider Name: WAYT HEALTH CARE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 51D0932216

Address:
1612 WHEELING AVE
GLEN DALE, WV
ZIP 26038
Phone: (304) 845-5700
Get Directions

WAYT HEALTH CARE, PLLC is a family medicine in Glen Dale, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WAYT HEALTH CARE, PLLC NPI is 1952596769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1612 WHEELING AVE
GLEN DALE, WV
ZIP 26038-734
Phone: (304) 845-5700
Fax: (304) 845-7400

The provider's authorized official is Michael Timothy Wayt .
The authorized official title is Member and has the following contact phone number (304) 845-5700.

The CLIA number assigned to this NPI record is 51D0932216 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/14/2007 and was last updated on 12/31/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine18396WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WA9319861MEDICARE PIN
20047663000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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