Provider Demographics
NPI:1053324798
Name:CAO, WENHUI (MD)
Entity Type:Individual
Prefix:
First Name:WENHUI
Middle Name:
Last Name:CAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9697
Mailing Address - Country:US
Mailing Address - Phone:724-223-9270
Mailing Address - Fax:724-223-8133
Practice Address - Street 1:240 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9697
Practice Address - Country:US
Practice Address - Phone:724-223-9270
Practice Address - Fax:724-223-8133
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV223722081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA411527OtherUPMC HEATLH PLAN
OH2662382Medicaid
WV001866072OtherBS WV
WV001866074OtherBS
PA1870614OtherHIGHMARK BCBS
PA1561805OtherGATEWAY MEDICARE ASSURED
PA1018777870003Medicaid
WV3810005887Medicaid
WVI58745Medicare UPIN
OH2662382Medicaid
WV001866074OtherBS
WV3810005887Medicaid