Wu Jan Lin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD019839E Issued in PA

Practice address

763 Johnsonburg Rd
Saint Marys, PA 15857-3417

Phone

(814) 834-1020

Fax

(814) 834-1040

NPI assigned

Sep 8, 2005

Reactivated

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1922092659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-834-1020",
            "fax_number": "814-834-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-834-1020",
            "fax_number": "814-834-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "WU",
        "middle_name": "JAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-10-11",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD019839E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006421100002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "069598",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Aaron Kuleck, LSW
• Philip M Latona, C.R.N.A.
• Marsha Lynn Lehman
• Shannon Nicole Lenze, MA, NCC, LPC
• Neal Lepovetsky, D.C.
• Katherine Dawn Luvaas, O.D.
• Lori Elizabeth Mahoney, MS CCC SLP
• Terence Joseph Maloney, OTR/L
• Kelly Marie Martin, LPN
• Jennifer Ann McAllister, CRNP

• Specialist in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.