Provider Demographics
NPI:1588756043
Name:KAUFER, WENDY (DO)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:KAUFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9104 BABCOCK BLVD
Mailing Address - Street 2:SUITE 2111
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5818
Mailing Address - Country:US
Mailing Address - Phone:412-364-5834
Mailing Address - Fax:412-369-9984
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:SUITE 2111
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:412-364-5834
Practice Address - Fax:412-369-9984
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS010447L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
450629OtherHEALTH AMERICA
PA1476651OtherHIGHMARK BLUE SHIELD
1460913OtherAETNA
000000195174OtherUNISON HEALTH PLAN
411033OtherUPMC HEALTH PLAN
PA1008432740001Medicaid
P006084OtherGATEWAY HEALTH PLAN