Organization Active NPI

Sandra Jones Wu MD Inc

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1205011574
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SANDRA JONES WU MD INC
Practice address
1194 Old Henderson Rd Ste a
Columbus, OH 43220-3694
Phone
(614) 459-5227
Fax
(614) 459-5681
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra Jones Wu, MD
Title
President
Phone
(614) 459-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1194 Old Henderson Rd Ste a
Columbus, OH 43220-3694

Mailing address

1194 Old Henderson Rd Ste a
Columbus, OH 43220-3694
Phone (614) 459-5227

Other identifiers 2

IdentifierTypeStateIssuer
000000379020OtherOHANTHEM BC/BS
294445529007OtherOHMEDICAL MUTUAL

National Provider Directory

National Provider Directory

Locations

1194 Old Henderson Rd
Columbus, OH 43220
Phone (614) 459-5227

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1205011574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 OLD HENDERSON RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203694",
            "telephone_number": "614-459-5227",
            "fax_number": "614-459-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 OLD HENDERSON RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203694",
            "telephone_number": "614-459-5227",
            "fax_number": "614-459-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA JONES WU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "JONES WU",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-459-5227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000379020",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "294445529007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.