Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ue Thao, PAC

Individual provider Physician Assistant · NPI 1710954805

Ue Thao, PAC is a Physician Assistant in Winston Salem, North Carolina. Qualified in 1994, 32 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota, North Carolina and Wisconsin.

Years since qualifying
32
Licensed in
MN, NC, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone: (336) 441-5569
Fax: (336) 771-1907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Highland Oaks Dr, Winston Salem, NC 27103-7107 — (336) 441-5569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03475 (NC)
Physician Assistant Taxonomy 363A00000X (WI)
Physician Assistant Taxonomy 363A00000X · Licence 9287 (MN)

Record details

NPI number1710954805
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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