NPIMap

Organization Active NPI

Charles J Wu MD PA

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1770629016
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D18508 Issued in MD
Legal business name
CHARLES J WU MD PA
Practice address
1600 S Crain Hwy
Suite 106
Glen Burnie, MD 21061-6439
Phone
(410) 768-6333
Fax
(410) 768-6392
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Charles Jia Ching Wu, MD
Title
President
Phone
(410) 768-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D18508 MD Primary

Addresses

Primary practice location

1600 S Crain Hwy
Suite 106
Glen Burnie, MD 21061-6439

Mailing address

1600 S Crain Hwy
Suite 106
Glen Burnie, MD 21061-6439
Phone (410) 768-6333

Other identifiers 1

IdentifierTypeStateIssuer
9300OtherMDCAREFIRST BCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1770629016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S CRAIN HWY",
            "address_2": "SUITE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616439",
            "telephone_number": "410-768-6333",
            "fax_number": "410-768-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CRAIN HWY",
            "address_2": "SUITE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616439",
            "telephone_number": "410-768-6333",
            "fax_number": "410-768-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J WU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JIA CHING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-768-6333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D18508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "9300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

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

Verify at the official NPI Registry.