Organization Active NPI

Jung Wu M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Howell, MI
National Provider Identifier
1902032055
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301036226 Issued in MI
Legal business name
JUNG WU M.D., P.C.
Practice address
1325 Byron Rd
Howell, MI 48843-1078
Phone
(517) 546-7410
Fax
(517) 546-4020
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Jung Wu, M.D.
Title
M.D., P.C., President
Phone
(517) 546-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301036226 MI Primary

Addresses

Primary practice location

1325 Byron Rd
Howell, MI 48843-1078

Mailing address

1325 Byron Rd
Howell, MI 48843-1078
Phone (517) 546-7410

Other identifiers 1

IdentifierTypeStateIssuer
1097059MedicaidMI

National Provider Directory

National Provider Directory

Locations

1325 Byron Rd
Howell, MI 48843
Phone (517) 546-7410

1325 Byron Rd
Ste A
Howell, MI 48843
Phone (517) 546-7410

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1902032055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431078",
            "telephone_number": "517-546-7410",
            "fax_number": "517-546-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431078",
            "telephone_number": "517-546-7410",
            "fax_number": "517-546-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG WU M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JUNG",
        "authorized_official_title_or_position": "M.D., P.C., PRESIDENT",
        "authorized_official_telephone_number": "517-546-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301036226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1097059",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.