Charles Jia Ching Wu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D18508 Issued in MD

Practice address

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

Phone

(410) 768-6333

Fax

(410) 768-6392

NPI assigned

Feb 2, 2007

Last updated

Jun 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: cwu6112@direct.mdmercy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles J Wu MD PA

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1770629016
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1790823649",
    "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": {
        "last_name": "WU",
        "first_name": "CHARLES",
        "middle_name": "JIA CHING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D18508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "775411600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "9300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Work Life Primary Care LLC
• Work Life Urgent Care LLC
• Lissette Wright
• Shelby Ann Wright
• Sherrelle Brittany Wright, LGPC
• Barbara Wyne, LCPC
• Armelle Kevine Yakouan Ngoupeyou
• Yalich Clinic
• Yalmikiathehairdoctor
• Yongbo Yang, PHARMD

• Internal Medicine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.