Clyde Wu, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

CW025720 Issued in MI

Legal business name

CLYDE WU, M.D.

Practice address

1275 Audubon Rd
Grosse Pointe Park, MI 48230-1151

Phone

(313) 506-6835

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Sherry Cauchon

Title

Billing Manager

Phone

(313) 506-6835

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1740546159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 AUDUBON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301151",
            "telephone_number": "313-506-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 AUDUBON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301151",
            "telephone_number": "313-506-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE WU, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "CAUCHON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "313-506-6835"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "CW025720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "060067730",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104389010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1108296182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Louise Castile, LMSW
• Laura Wilton Chin, MA, CCC-SLP
• City of Grosse Pointe Park
• Angela Cecile Clark, DNP-FNP
• Classy Comfortt Care LLC
• Community Social Services of Wayne County
• Emily Anne Compton, MPH, RDN
• Ieasha M Conner, CNA
• Christine Elizabeth Crawford, MSW
• Jiyeong L Cruz

• Cardiovascular Disease Physician in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.