MEDICARE: RICHARD EDWARD CAIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	15792	WV
2	207Q00000X	Family Medicine Physician	35075378	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000228470	OTHER	OH	ANTHEM
4	000000699779	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1003811472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD EDWARD CAIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 609
Second Line	:
City	:	ELIZABETH
State	:	WV
Zip	:	26143-0609
Country	:	US
Telephone Number	:	304-275-3301
Fax Number	:	304-275-4798

Provider Business Practice Location Address
First Line	:	73 NICOLETTE RD
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26104-7236
Country	:	US
Telephone Number	:	304-861-4141
Fax Number	:	304-917-3750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	01/30/2026

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