Active NPI
Wu Yen Liu, MD
- Otolaryngology Physician
- Temple Hills, MD
National Provider Identifier
1457467268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0026605
- Practice address
- 3611 Branch Avenue
Suite 305
Temple Hills, MD 20748-1242 - Phone
- (301) 423-5540
- Fax
- (301) 423-8491
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0026605 | MD | Primary |
| Otolaryngology Physician | 207Y00000X | MD12997 | DC |
Addresses
Primary practice location
3611 Branch Avenue
Suite 305
Temple Hills, MD 20748-1242
Mailing address
3611 Branch Avenue
Suite 305
Temple Hills, MD 20748-1242
Phone (301) 423-5540
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06810 | Other | AMERIGROUP | |
| 1000301 | Other | UNITED HEALTHCARE | |
| 27043 | Other | EMP HEALTH JOHN HOPKINS P | |
| 9806936 | Other | CIGNA | |
| G01431W01 | Other | MEDICARE PROV ID | |
| 0738097 | Other | AETNA US HEALTHCARE | |
| 269798 | Other | ANTHEM BCBS | |
| 33082001 | Other | MD | BCBS MD RENDERING |
| J0810001 | Other | DC | BCBS OF DC |
| 013219 | Other | VA | BCBS |
| 0L59W | Other | MD | BCBS |
| 313708 | Other | MAMSI ALLIANCE OPT CH MDI | |
| 4053210 | Other | AETNA SELECT CHOICE | |
| 494036 | Other | NCPPO |
Other names 1
- Wayne Liu
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0026605 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | 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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457467268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 BRANCH AVENUE",
"address_2": "SUITE 305",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481242",
"telephone_number": "301-423-5540",
"fax_number": "301-423-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 BRANCH AVENUE",
"address_2": "SUITE 305",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481242",
"telephone_number": "301-423-5540",
"fax_number": "301-423-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "WU",
"middle_name": "YEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0026605",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "DC",
"license": "MD12997",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "06810",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1000301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMP HEALTH JOHN HOPKINS P",
"identifier": "27043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9806936",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROV ID",
"identifier": "G01431W01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0738097",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "269798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD RENDERING",
"identifier": "33082001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC",
"identifier": "J0810001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "013219",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0L59W",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI ALLIANCE OPT CH MDI",
"identifier": "313708",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SELECT CHOICE",
"identifier": "4053210",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "494036",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WAYNE",
"last_name": "LIU",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.