DR. HENRY WU (NPI# 1891795670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891795670 |
| Entity Type | Individual |
| Full Name | DR. HENRY WU |
| Credential | MD |
| Practice Address |
710 Park Pl Mishawaka IN 46545-3519 |
| Mailing Address |
Po Box 5909 Portland OR 97228-5909 |
| Practice Telephone | 5742736787 |
| Practice Fax Number | 5749687160 |
| Mailing Telephone | 5742736767 |
| Mailing Fax Number | 5749687160 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01057570A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200432430A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932356219 | Henry D Wu | Internal Medicine | 254 Canal St Rm 5003, New York, NY 10013 | 2008-08-19 |
| 1114110749 | Henry Dehui Wu | Acupuncturist | 1400 E Hampden Ave Ste 130, Cherry Hills Village, CO 80113-3127 | 2007-08-27 |
| 1659489268 | Henry H Wu | Urology | 3801 Katella Ave Ste 320, Los Alamitos, CA 90720-3338 | 2006-08-25 |
| 1003829268 | Henry Wu | Podiatrist | 133-38 41st Road, Suite Co1, Flushing, NY 11355-3782 | 2006-08-15 |
| 1093179004 | Henry Cheng-ju Wu | Pain Medicine | 9500 Euclid Ave, Cleveland, OH 44195-4973 | 2016-04-06 |
| 1831519834 | Henry Wu | Pediatrics | 4650 W Sunset Blvd, Ms#68, Los Angeles, CA 90027-6062 | 2014-04-17 |
| 1609954726 | Henry Wu | Obstetrics & Gynecology | 520 N Prospect Ave, #203, Redondo Beach, CA 90277 | 2006-11-02 |
| 1144276486 | Henry Ming-yow Wu | Internal Medicine | 550 Peachtree St Ne, Tec Medical Office Tower, Atlanta, GA 30308-2212 | 2006-05-26 |
| Street Address |
710 PARK PL |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765364 | Paul Rodney Herman | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2005-07-22 |
| 1437763299 | Loren Michelle Calderone | Nurse Practitioner | 710 Park Pl, Mishawaka, IN 46545-3519 | 2020-08-31 |
| 1982247540 | Johna Ann Radford | Nurse Practitioner | 710 Park Pl, Mishawaka, IN 46545-3519 | 2019-10-25 |
| 1144872763 | Solange Umutesi Rutagengwa | Nurse Practitioner | 710 Park Pl, Mishawaka, IN 46545-3519 | 2019-07-13 |
| 1255656138 | Christiane Nwawock Mbianda | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2010-04-02 |
| 1841527918 | Fms Nephrology Partners North Central Indiana Dialysis Centers, LLC | Clinic/Center | 710 Park Pl, Mishawaka, IN 46545-3519 | 2009-11-11 |
| 1467683904 | Lily Kristine Sunio | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2009-07-31 |
| 1679703045 | Prabhakorn Kitbhoka | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2009-07-20 |
| 1154571792 | Barbara Chupp-grove | Nurse Practitioner | 710 Park Pl, Mishawaka, IN 46545-3519 | 2008-09-19 |
| 1407019037 | Sudhir Bhargav Vyakaranam | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765364 | Paul Rodney Herman | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2005-07-22 |
| 1710987581 | Brian Scott Sucharetza | Internal Medicine | 515 Park Place, Suite 200, Mishawaka, IN 46545-3566 | 2005-07-22 |
| 1922008796 | James L Porile | Internal Medicine | 710 Park Place, Mishawaka, IN 46545-3519 | 2005-07-22 |
| 1093067530 | Kidney Care of Michiana LLC | Internal Medicine | 3665 Park Pl W, Suite 300, Mishawaka, IN 46545-3566 | 2012-10-08 |
| 1679703045 | Prabhakorn Kitbhoka | Internal Medicine | 710 Park Pl, Mishawaka, IN 46545-3519 | 2009-07-20 |
| 1497873384 | Leslie Ann Schmitz | Internal Medicine | 3665 Park Pl W, Suite 300, Mishawaka, IN 46545-3566 | 2007-03-27 |
| 1750443297 | Manish Jain | Internal Medicine | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2006-12-14 |
| 1407856271 | Samuel Lymon Milligan | Internal Medicine | 710 Park Place, Mishawaka, IN 46545-3519 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1952962516 | Rafael Juan Igartua | Internal Medicine | 1450 Solemar Dr, West Lafayette, IN 47906-8867 | 2019-06-25 |
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1124423546 | Beacon Medical Group, Inc. | Internal Medicine | 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 | 2014-10-28 |
| 1619309317 | Kevin Joseph Lavelle | Internal Medicine | 621 First Ave. N.e., Carmel, IN 46032 | 2013-08-05 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.