Individual provider Active NPI

Michael T Wayt, M.D.

  • Family Medicine Physician
  • Glen Dale, WV
National Provider Identifier
1639164684
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18396 Issued in WV
Practice address
1612 Wheeling Ave
Glen Dale, WV 26038-1734
Phone
(304) 845-5700
NPI assigned
Sep 15, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18396 WV Primary

Addresses

Primary practice location

1612 Wheeling Ave
Glen Dale, WV 26038-1734

Mailing address

1612 Wheeling Ave
Glen Dale, WV 26038-1734
Phone (304) 845-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110627000494 WV Practitioner - Family Practice 8921183765 Reassigns benefits to 1 organization
I20150123002089 OH Practitioner - Family Practice 8921183765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayt Health Care, PLLCGroup PAC ID 8022192897, 2 clinicians

Practice addresses (Care Compare)

100 Myrtie Dr
St Clairsville, OH 43950
Phone (304) 845-5700

1612 Wheeling Ave
Glen Dale, WV 26038-1734
Phone (304) 845-5700

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Adoration Home Health Home health agency, Morgantown, WV, CCN 517122
  • Valley Hospice, Incorporated Hospice, Wheeling, WV, CCN 511526
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Good Shepherd Nursing Home Nursing home, Wheeling, WV, CCN 515038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wayt Health Care, PLLC Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Good Shepherd Nursing Home LC Past Accepting new patients

Locations

1307 Wheeling Ave
Rear A
Glen Dale, WV 26038
Phone (304) 845-5700

1612 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 845-5700

Interoperability endpoints

  • Direct secure messaging: drmichaelwayt@waythealthcare.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1639164684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381734",
            "telephone_number": "304-845-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381734",
            "telephone_number": "304-845-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYT",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2009-12-31",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "18396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.