Active NPI
Walter R Cayce, MD, MPH
- Preventive Medicine/Occupational Environmental Medicine Physician
- Ajo, AZ
National Provider Identifier
1528034626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 15242
- Practice address
- 410 N Malacate St
Ajo, AZ 85321-2254 - Phone
- (520) 381-5651
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-047652 | OH | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 35-047652 | OH | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 15242 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | 15242 | AZ | |
| Adult Medicine Physician | 207QA0505X | 15242 | AZ |
Addresses
NPPES NPI RegistryPrimary practice location
410 N Malacate St
Ajo, AZ 85321-2254
Mailing address
410 N Malacate St
Ajo, AZ 85321-2254
Phone (520) 381-5651
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708172 | Medicaid | AZ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2016.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1528034626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N MALACATE ST",
"city": "AJO",
"state": "AZ",
"postal_code": "853212254",
"telephone_number": "520-381-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MALACATE ST",
"city": "AJO",
"state": "AZ",
"postal_code": "853212254",
"telephone_number": "520-381-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAYCE",
"first_name": "WALTER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "OH",
"license": "35-047652",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "AZ",
"license": "15242",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "15242",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AZ",
"license": "15242",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "708172",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ajo, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.