Individual provider Active NPI

Jack C Wu, MD

  • Emergency Medicine Physician
  • Gastonia, NC
National Provider Identifier
1598805483
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200300914 Issued in NC
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(330) 493-4443
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 220345 NY
Emergency Medicine Physician 207P00000X 35.098435 OH
Emergency Medicine Physician 207P00000X MD444249 PA
Emergency Medicine Physician 207P00000X 036.124282 IL
Emergency Medicine Physician 207P00000X 200300914 NC Primary

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Other practice location 1

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 213-4200

Other practice location 2

1000 East Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-7762

Other identifiers 1

IdentifierTypeStateIssuer
89134JMMedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jwu401983@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, NY, PA, CA, OH6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040206000178 NC Practitioner - Emergency Medicine 6002709672 Reassigns benefits to 2 organizations
I20091110000784 IL Practitioner - Emergency Medicine 6002709672 Reassigns benefits to 2 organizations
I20101213000051 NY Practitioner - Emergency Medicine 6002709672 Reassigns benefits to 7 organizations
I20111114000201 PA Practitioner - Emergency Medicine 6002709672 Reassigns benefits to 6 organizations
I20120712000101 CA Practitioner - Emergency Medicine 6002709672 Reassigns benefits to 1 organization
I20130531000226 OH Practitioner - Emergency Medicine 6002709672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians
Island Emergency Medical Services PCGroup PAC ID 4981503513, 138 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4281

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3261

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.124282ILMDEmergency Medicine Physician
200300914NCMDEmergency Medicine Physician
35.098435OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince May 30, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 25, 2024 Accepting new patients
Ellis Hospital Emergency Medicine CurrentSince May 4, 2019 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Apr 28, 2024 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 1, 2020 Accepting new patients
Ellis Hospital Emergency Medicine CurrentSince May 4, 2019 Accepting new patients
Elk Regional Health Center CurrentSince Sep 29, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2023 Accepting new patients
Carthage Area Hospital Inc CurrentSince Dec 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger Clinic CurrentSince May 30, 2025 Accepting new patients
Geisinger Clinic CurrentSince May 30, 2025 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Carthage Area Hospital Inc. CurrentSince Dec 1, 2020 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Apr 28, 2025 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince May 26, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince May 30, 2025 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Dec 30, 2025 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Nov 20, 2001 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2023 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince Jul 4, 2018 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Jun 15, 2023 Accepting new patients
Elk Regional Health Center Emergency Medicine Current Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 1, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 28, 2024 Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC Emergency Medicine Past Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physician Partners of Rancho Mirage, Inc Emergency Medicine Past Accepting new patients
Clearfield Hospital Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Piedmont Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients
Internal Medicine Specialist, PA Past Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations (25 of 40)

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1170 Chili Ave
Rochester, NY 14624
Phone (585) 330-3374

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

Interoperability endpoints

  • Direct secure messaging: jwumd422214@carlehiedirect.net

Organizations & group practices 45

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.

View all 45

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1598805483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "330-493-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292029",
            "country_code": "US",
            "telephone_number": "708-213-4200",
            "fax_number": "708-213-0144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 East Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-7762",
            "fax_number": "570-808-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JACK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "220345",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.098435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD444249",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.124282",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200300914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134JM",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "17800 Kedzie Ave",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwu401983@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17800 Kedzie Ave",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.