Wayt Health Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18396 Issued in WV

Legal business name

WAYT HEALTH CARE, PLLC

Practice address

1612 Wheeling Ave
Glen Dale, WV 26038-1734

Phone

(304) 845-5700

Fax

(304) 845-7400

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Timothy Wayt, M.D.NPI 1639164684

Title

Member

Phone

(304) 845-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael T Wayt, M.D.

  • Family Medicine Physician
  • Glen Dale, WV
  • NPI 1639164684

  OH

  Medicare reassignment Care Compare group NPD Authorized official
• Marissa Duplaga, FNP-BC

  • Family Nurse Practitioner
  • Wheeling, WV
  • NPI 1871060343
  Medicare reassignment Care Compare group NPD
• Kenadee Shea Wayt, PA-C

  • Medical Physician Assistant
  • Morgantown, WV
  • NPI 1770453029
  Medicare reassignment NPD

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1952596769",
    "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",
            "fax_number": "304-845-7400"
        },
        {
            "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",
            "fax_number": "304-845-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYT HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "WAYT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-845-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "18396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047663000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Rochelle Varner, REGISTERED NURSE
• Chickajajur Vijay, M.D.
• William R. Walker, M.D.
• Katrina Wasmuth, NP-C
• Matthew Joseph Watkins, D.O.
• Michael T Wayt, M.D.
• Wheeling Foot Clinic
• Wheeling Hospital, Inc.
• Terry L Williams, O.D.
• Brandon Daniel Wilson, M.D.

• Family Medicine Physician in Glen Dale, WV
• Providers in Glen Dale, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.