Shawn X Wu, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

18988 Issued in MS

Practice address

14986 Angela Dr
Gulfport, MS 39503-3502

Phone

(228) 357-5464

Fax

(877) 563-0603

NPI assigned

Dec 13, 2006

Last updated

Oct 28, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Physicians Pain and Spine Specialists

  • Interventional Pain Medicine Physician
  • Gulfport, MS
  • NPI 1639417819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1952462905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14986 ANGELA DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033502",
            "telephone_number": "228-357-5464",
            "fax_number": "877-563-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14986 ANGELA DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033502",
            "telephone_number": "228-357-5464",
            "fax_number": "877-563-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SHAWN",
        "middle_name": "X",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "18988",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "18988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002077",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Woodruff, MS, RD, LD
• Danelle Woods, PCMHT
• Candace Worsham, D.O.
• Grace Elizabeth Worth
• Wright and Associates Medical Logistics LLC
• Marsha Wyatt, LMT
• Valerie Wyatt
• Eric J Wyble, MD
• Jeanie Wyble, RN
• Xquisite Haar Loss Restoration Center LLC

• Interventional Pain Medicine Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Interventional Pain Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.