SOU-PAN WU (NPI# 1114993961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114993961 |
| Entity Type | Individual |
| Full Name | SOU-PAN WU |
| Credential | MD |
| Practice Address |
401 Phalen Blvd Mail Stop 41103e St Paul MN 55101-5302 |
| Mailing Address |
401 Phalen Blvd 41103a Saint Paul MN 55130-5302 |
| Practice Telephone | 6512547800 |
| Practice Fax Number | 6512547806 |
| Mailing Telephone | 6512547800 |
| Mailing Fax Number | 6512547806 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
42668 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
48087 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 709448500 | 05 |
| Street Address |
401 PHALEN BLVD MAIL STOP 41103E |
| City | ST PAUL |
| State | MN |
| Zip Code | 55101-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922063338 | Ann L Rinehart | Internal Medicine | 401 Phalen Blvd, Mail Stop 41103c, St Paul, MN 55101-5302 | 2006-04-19 |
| 1861455321 | Brooks A Butler | Surgery | 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | 2006-04-07 |
| 1164484960 | Puneet S Arora | Internal Medicine | 401 Phalen Blvd, Mail Stop 41103d, St Paul, MN 55101-5302 | 2006-04-05 |
| 1851369151 | Leslie A Kopietz | Ophthalmology | 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101-5302 | 2006-03-10 |
| 1437125317 | Gregory Siwek | Internal Medicine | 401 Phalen Blvd, Mail Stop 41103b, St Paul, MN 55101-5302 | 2006-02-28 |
| 1386610731 | Anthony J Pfaff | Ophthalmology | 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101-5302 | 2006-02-27 |
| 1164498564 | Seth I Wolpert | Surgery | 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | 2006-02-24 |
| 1477528438 | Paul Allan Abraham | Internal Medicine | 401 Phalen Blvd, Mail Stop 41103c, St Paul, MN 55101-5302 | 2006-02-22 |
| 1750356622 | Bruce A Bennett | Surgery | 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | 2006-02-22 |
| 1912971771 | Eric J Korbach | Internal Medicine | 401 Phalen Blvd, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1962695023 | Paul H Sufka | Internal Medicine | 401 Phalen Blvd-ms 41103a, Healthpartners Specialty Center 401, St Paul, MN 55130-5302 | 2007-08-22 |
| 1336114040 | Elie Gertner | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41103a, St Paul, MN 55101-5302 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079055 | Emily Pfeifer | Internal Medicine | 7250 France Ave S Ste 215, Edina, MN 55435-4312 | 2012-06-25 |
| 1871865840 | Kenneth Floyd Tempero | Internal Medicine | 1901 Lake Rd, Wayzata, MN 55391-9715 | 2012-02-06 |
| 1639329279 | Audrey May Nelson | Internal Medicine | 2105 Valkyrie Dr Nw, Rochester, MN 55901-8117 | 2008-09-19 |
| 1457426652 | F Douglas Whiting | Internal Medicine | 3585 North Lexington Ave Suite 135, Arden Hills, MN 55126 | 2006-11-22 |
| 1235147331 | Jerry A Molitor | Internal Medicine | 516 Delaware Street Se, Clinic 6a, Ump Medicine Specialties Clinic, Minneapolis, MN 55455 | 2006-08-04 |
| 1497763700 | Shambeel H Rizvi | Internal Medicine | 536 Cedar St, Monticello, MN 55362-8403 | 2006-08-03 |
| 1619913621 | Ali Sajjad | Internal Medicine | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-5841 | 2006-06-20 |
| 1053353094 | David J Rhude | Internal Medicine | 3505 Saint Paul Ave, O5, Minneapolis, MN 55416-4344 | 2006-06-12 |
| 1760455208 | Ellen R Shammash | Internal Medicine | 401 Phalen Blvd - Ms 41103a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-02-07 |
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
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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.