Active NPI
Mark P. Wu, M.D.
- Vascular Surgery Physician
- Athol, MA
National Provider Identifier
1982691333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 50555
- Practice address
- 2033 Main St
Athol, MA 01331-3535 - Phone
- (978) 249-3511
- Fax
- (978) 249-7666
- NPI assigned
- Sep 30, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 50555 | MA | |
| Vascular Surgery Physician | 2086S0129X | 50555 | MA | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 50555 | MA |
Addresses
Primary practice location
2033 Main St
Athol, MA 01331-3535
Mailing address
2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1392620 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Vascular Surgical Associates, PC | Vascular Surgery | Past | Accepting new patients |
| David C. Flemming MD PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Gardner, MA
- NPI 1801980081
-
- Vascular Surgery Physician
- Shelton, CT
- NPI 1801805403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982691333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 MAIN ST",
"city": "ATHOL",
"state": "MA",
"postal_code": "013313535",
"telephone_number": "978-249-3511",
"fax_number": "978-249-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 MAIN ST",
"city": "ATHOL",
"state": "MA",
"postal_code": "013313535",
"telephone_number": "978-249-3511",
"fax_number": "978-249-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "MARK",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "50555",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "50555",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MA",
"license": "50555",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1392620",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.