ERIC J WU (NPI# 1366889479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366889479 |
| Entity Type | Individual |
| Full Name | ERIC J WU |
| Credential | DDS |
| Practice Address |
5900 Waterloo Rd Ste 220 Columbia MD 21045-2638 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 4106308189 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | D13265 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497319149 | Eric Wu | Student in an Organized Health Care Education/Training Program | 16547 Blackburn Dr, La Mirada, CA 90638-6206 | 2019-04-29 |
| 1720582349 | Eric Wu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, (internal Medicine), Los Angeles, CA 90095-7419 | 2018-03-19 |
| 1174902969 | Eric Wu | Internal Medicine | 2312 Goldsmith St., Houston, TX 77030 | 2015-05-26 |
| 1285955906 | Eric Wu | Dentist | 125 N 3rd St Apt C, Alhambra, CA 91801-3492 | 2010-06-16 |
| 1457375453 | Eric Wu | Dentist | 1865 El Camino Real, Palo Alto, CA 94306-1151 | 2006-07-26 |
| 1245724863 | Eric Thomas Wu | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2018-06-18 |
| 1306341631 | Eric Longhua Wu | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2018-03-28 |
| 1396261046 | Eric Wu | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2017-08-15 |
| 1326410887 | Eric Wu | Behavioral Analyst | 101 Grove St, Room 320, San Francisco, CA 94102-4505 | 2015-10-23 |
| 1003236852 | Eric Wu | Emergency Medicine | 1400 E Boulder St, Colorado Springs, CO 80909 | 2014-04-21 |
| Street Address |
5900 WATERLOO RD STE 220 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752409 | Nusmiles Orthodontics | Dentist | 5900 Waterloo Rd Ste 220, Columbia, MD 21045-2638 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1043542988 | Central Maryland Oral and Maxillofacial Surgery P.a. | Oral & Maxillofacial Surgery | 10710 Charter Dr, Suite 330, Columbia, MD 21044-3128 | 2010-02-03 |
| 1477881290 | Domenick Coletti Dds, Md, PC | Oral & Maxillofacial Surgery | 10710 Charter Dr, Suite 330, Columbia, MD 21044-3128 | 2009-12-07 |
| 1720071236 | Domenick Peter Coletti | Oral & Maxillofacial Surgery | 10710 Charter Dr, Suite 330, Columbia, MD 21044-3128 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679902407 | Antoine G Johnson Dds LLC | Oral & Maxillofacial Surgery | 3450 Ellicott Center Dr, 104, Ellicott City, MD 21043-4172 | 2013-11-02 |
| 1043656655 | Scott Seung Young Kim | Oral & Maxillofacial Surgery | 6201 Greenbelt Rd Ste M1, College Park, MD 20740-2358 | 2013-05-22 |
| 1760558787 | Michael E Suden | Oral & Maxillofacial Surgery | 12166 Old Big Bend, Ste 101, Kirkwood, MD 63122 | 2006-11-28 |
| 1811060734 | Behrens & Kishter PC | Oral & Maxillofacial Surgery | 11404 Old Georgetown Road, Suite 104, Rockville, MD 20852 | 2006-11-16 |
| 1639141609 | Peter M Tan | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-03 |
| 1467446344 | John F Caccamese Jr. | Oral & Maxillofacial Surgery | 650 W. Baltimore St., Suite 1401, Baltimore, MD 21201 | 2005-09-07 |
| 1992798524 | Leonard Spector | Oral & Maxillofacial Surgery | 10 Warren Rd, Ste 330, Cockeysville, MD 21030-2506 | 2005-08-30 |
| 1023001641 | Spector & Krupps Dds | Oral & Maxillofacial Surgery | 1220b E Joppa Rd, Ste 314, Towson, MD 21286-5813 | 2005-08-30 |
| 1811998966 | Barry Ronald Berman | Oral & Maxillofacial Surgery | 110 Painters Mill Rd, Suite 8, Owings Mills, MD 21117-4920 | 2005-08-10 |
| 1982016812 | Leah Irene Leinbach | Oral & Maxillofacial Surgery | The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2014-05-27 |
| 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.