Provider Demographics
NPI:1104864586
Name:CAYTON, WAYNE B JR (MD)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:B
Last Name:CAYTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 75113
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-5113
Mailing Address - Country:US
Mailing Address - Phone:304-422-1666
Mailing Address - Fax:904-346-0113
Practice Address - Street 1:800 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5340
Practice Address - Country:US
Practice Address - Phone:304-424-2111
Practice Address - Fax:904-346-0113
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2015-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV13114207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1042764OtherWV WORK COMP
WVP00207631OtherRAILROAD MEDICARE
WV0548974OtherOHIO MEDICAID
WV0050660000Medicaid
WVA72819Medicare UPIN
WV0548974OtherOHIO MEDICAID