Active NPI
Jack C Wu, MD
- Emergency Medicine Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 200300914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89134JM | Medicaid | NC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.124282 | IL | MD | Emergency Medicine Physician |
| 200300914 | NC | MD | Emergency Medicine Physician |
| 35.098435 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Ellis Hospital | Emergency Medicine | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Dubois Regional Medical Center | Emergency Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Ellis Hospital | Emergency Medicine | Current | Accepting new patients |
| Elk Regional Health Center | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| Carthage Area Hospital Inc. | Current | Accepting new patients | |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Delphi Healthcare PLLC | Emergency Medicine | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of Pennsylvania, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Exigence Medical of Binghamton PLLC | Current | Accepting new patients | |
| Centinela Freeman Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Elk Regional Health Center | Emergency Medicine | Current | Accepting new patients |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | 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
- 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.
-
- Emergency Medicine Physician
- Wellsville, NY
- NPI 1003075029
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Care Clinic/Center
- Peoria, IL
- NPI 1265966048
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1528333101
-
- Emergency Medicine Physician
- Du Bois, PA
- NPI 1992802391
-
- Emergency Medicine Physician
- Saint Marys, PA
- NPI 1114460391
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1558547034
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.