DR. CHARLES WILSON


Address: 665 Winter St Se, Salem, OR 97301-3919
Phone: 5035615634

DR. CHARLES WILSON (NPI# 1033211339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033211339
Entity Type Individual
Full Name DR. CHARLES WILSON
Credential MD
Practice Address 665 Winter St Se
Salem
OR 97301-3919
Mailing Address Po Box 2505
Salem
OR 97308-2505
Practice Telephone 5035615634
Mailing Telephone 8888283198
Enumeration Date 2006-09-05
Last Update Date 2007-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine MD09689 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MARION POLK CHP 116012 01
PROVIDENCE A44718 01
CHAMPUS A020 01
PACC FM1W751 01
OR 116012 05
PACIFIC SOURCE M400711 01
WA 8302143 05
GROUP HEALTH A44718 01
CA XPY049920 05

Other Providers CHARLES WILSON

NPI Name Taxonomy Address Enumeration
1538715305 Charles Louis Wilson Massage Therapist 2900 Government St Ste A, Ocean Springs, MS 39564-5647 2019-08-16
1447770086 Charles Lynn Wilson Jr. Case Manager/Care Coordinator 200 S Chambers Ave Lot 26, Claremore, OK 74017-5203 2017-06-25
1750744678 Charles Jay Wilson Counselor 711 N Market Ave, Bolivar, MO 65613-1114 2016-03-29
1063838639 Charles Lloyd Wilson Hospitalist Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 2014-03-06
1114295896 Charles Everett Wilson Dermatology 2211 Fernwood Ct, Grand Junction, CO 81506-6062 2011-12-08
1518249424 Charles Christian Wilson IIi Pharmacist 3240 Ivory Coast Dr, Las Vegas, NV 89117-2269 2011-09-16
1497066518 Charles Omar Wilson Jr. Pathology 175 Samaritan Way, Jasper, GA 30143 2010-06-23
1629399522 Charles Brent Wilson Dentist 7689 Us Hwy 61, Saint Francisville, LA 70775-0820 2010-06-15
1376705434 Charles Emmons Wilson Marriage & Family Therapist 511north 12th St, Riverton, WY 82501 2008-06-30
1598953184 Charles Wilson Physical Therapist 43 Bowman Dr, Waynesville, NC 28785-6115 2007-10-09

Office Location

Street Address 665 WINTER ST SE
City SALEM
State OR
Zip Code 97301-3919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659372407 Raghunandan Kamineni Internal Medicine 665 Winter St Se, Suite B0350, Salem, OR 97301-3934 2005-08-02
1356842207 Emily Stahl Mollenkopf Registered Nurse 665 Winter St Se, Salem, OR 97301-3934 2018-02-26
1083166037 Courtney E Brozovich Physician Assistant 665 Winter St Se, Salem, OR 97301-3934 2016-10-25
1215304092 Caroline Houston Pharmacist 665 Winter St Se, Salem, OR 97301-3934 2015-08-27
1982008983 Julian Mark Williams Perfusionist 665 Winter St Se, Salem, OR 97301-3934 2014-10-20
1366861775 Andrew W Judd Pathology 665 Winter St Se, Bldg B 2nd Floor Pathology, Salem, OR 97301-3934 2014-04-14
1215215371 Atish Chopra Surgery 665 Winter St Se, Salem, OR 97301-3934 2011-07-23
1003106071 Jeffrey David Crawford Surgery 665 Winter St Se, Salem, OR 97301-3934 2011-04-12
1528357795 Mariko Aili Ferronato Surgery 665 Winter St Se, Salem, OR 97301-3934 2011-03-28
1174848162 Trang Nguyen Moore Internal Medicine 665 Winter St Se, Salem, OR 97301-3934 2010-04-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
Find all providers in zip 97301

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760725485 Deirdre Harmony Witte Emergency Medicine Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 2013-04-01
1689992117 Jillian Colleen Schmunk Emergency Medicine 890 Oak Street, Se, Building A, Salem Emergency Physicians Services, Salem, OR 97301 2010-05-07
1184894081 Lourdes Maria Page Emergency Medicine 429 Homeplace Dr, Salem, VA 24153-7158 2008-03-06
1750589024 Vicky L Gulley Emergency Medicine 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 2007-07-06
1477672483 Michael Joseph Barra Emergency Medicine 890 Oak St Se Bldg A, Salem, OR 97301-3905 2007-03-29
1396810206 David Austin Rideout Emergency Medicine 60 Washington St Ste 403, Salem, MA 01970-3517 2006-11-24
1134204795 Fulton County Hospital Emergency Medicine 679 North Main, Salem, AR 72576 2006-10-25
1154336444 Jenai E Beland Cohen Emergency Medicine Salem Hospital, 81 Highland Avenue, Salem, MA 01970 2006-07-29
1013942192 John A Michael Emergency Medicine 28 1/2 Broad St, Salem, MA 01970-3143 2006-07-11
1447293337 Davis K Cho Emergency Medicine 1002 Bellevue St Se, Salem, OR 97301-4006 2006-06-14
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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