Active NPI
Wei-Lung Sam Wu, MD
- Nephrology Physician
- Erie, PA
National Provider Identifier
1922149350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD431481
- Practice address
- Saint Vincent Professional Building
311 West 24 Street, Suite 402
Erie, PA 16502 - Phone
- (814) 453-6687
- Fax
- (814) 456-4676
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD431481 | PA | Primary |
Addresses
Primary practice location
Saint Vincent Professional Building
311 West 24 Street, Suite 402
Erie, PA 16502
Mailing address
Saint Vincent Professional Building
311 West 24 Street, Suite 402
Erie, PA 16502
Phone (814) 453-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Nephrology PC | Nephrology | Current | Accepting new patients |
Locations
311 W 24th St
Ste 402
Erie, PA 16502
Phone (814) 453-6687
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAJBAA
Organizations & group practices 1
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.
-
dba The Regional Kidney Disease Center
- Nephrology Physician
- Erie, PA
- NPI 1568419448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1922149350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SAINT VINCENT PROFESSIONAL BUILDING",
"address_2": "311 WEST 24 STREET, SUITE 402",
"city": "ERIE",
"state": "PA",
"postal_code": "16502",
"telephone_number": "814-453-6687",
"fax_number": "814-456-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAINT VINCENT PROFESSIONAL BUILDING",
"address_2": "311 WEST 24 STREET, SUITE 402",
"city": "ERIE",
"state": "PA",
"postal_code": "16502",
"telephone_number": "814-453-6687",
"fax_number": "814-456-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "WEI-LUNG SAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD431481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.