Active NPI
Catherine Changhong Wu, DPM
- Podiatrist
- Revere, MA
National Provider Identifier
1265404594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD2141
- Practice address
- 1 Orr Square
#C
Revere, MA 02151-3200 - Phone
- (781) 289-2144
- Fax
- (781) 289-2167
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PD2141 | MA | Primary |
Addresses
Primary practice location
1 Orr Square
#C
Revere, MA 02151-3200
Mailing address
1 Orr Square
#C
Revere, MA 02151-3200
Phone (781) 289-2144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316784 | Medicaid | MA | |
| 333434 | Other | MA | HARVARD PILGRAM |
| Y71068 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD2141 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Winthrop, MA
- NPI 1790841385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1265404594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORR SQUARE",
"address_2": "#C",
"city": "REVERE",
"state": "MA",
"postal_code": "021513200",
"telephone_number": "781-289-2144",
"fax_number": "781-289-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORR SQUARE",
"address_2": "#C",
"city": "REVERE",
"state": "MA",
"postal_code": "021513200",
"telephone_number": "781-289-2144",
"fax_number": "781-289-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "CATHERINE",
"middle_name": "CHANGHONG",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "PD2141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0316784",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "333434",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y71068",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.