CHARLES J WILSON (NPI# 1558311431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558311431 |
| Entity Type | Individual |
| Full Name | CHARLES J WILSON |
| Credential | M.D. |
| Practice Address |
1137 Ocean Springs Rd Ocean Springs MS 39564-3421 |
| Practice Telephone | 2288758291 |
| Practice Fax Number | 8775043044 |
| Mailing Telephone | 2288758291 |
| Mailing Fax Number | 8775043044 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16578 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | TAX IDENTIFICATION NUMBER | 203211285 | 01 |
| MS | 0123305 | 05 |
| 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 |
| Street Address |
1137 OCEAN SPRINGS RD |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013966969 | Angelle P Lowery | Physician Assistant | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-05-09 |
| 1730454802 | Maegan Ann Miller | Nurse Practitioner | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2012-03-21 |
| 1770758146 | Derek F Erickson | Audiologist-Hearing Aid Fitter | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2008-04-28 |
| 1285837575 | Paul D Niolet | Allergy & Immunology | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2007-06-06 |
| 1851324776 | Bay Area Ent, Pllc | Specialist | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-07-07 |
| 1598715393 | Raymond L Weiss | Specialist | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-05-11 |
| 1528017118 | James B Grace II | Specialist | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386784 | Donna Neal | Specialist | 2113 Government St Ste K2, Ocean Springs, MS 39564-3949 | 2017-03-03 |
| 1407915895 | Jack B Campbell | Specialist | 111 Reynolds Cir, Ocean Springs, MS 39564-9736 | 2006-12-08 |
| 1205947843 | William L Striegel | Specialist | 15 Marks Rd, Ocean Springs, MS 39564-4351 | 2006-08-31 |
| 1811915960 | Edward C Krecker | Specialist | 4006 Dunsinane St, Ocean Springs, MS 39564-3443 | 2006-07-17 |
| 1184652745 | Jeffrey Lloyd Sauls | Specialist | 1151 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-06-30 |
| 1295779007 | Brian Raymond Pitre | Specialist | 3099 Bienville Blvd, Ocean Springs, MS 39564-4308 | 2006-06-15 |
| 1407803919 | Sun Coast Pain Management, P.a. | Specialist | 4 Doctors Dr, Suite C, Ocean Springs, MS 39564-5721 | 2006-05-28 |
| 1508838681 | Lydia F. Latour | Specialist | 1135 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-02-03 |
| 1396140869 | Bradley Carnell Sams Md Pa | Specialist | 1001 N Halstead Rd, Ocean Springs, MS 39564-3121 | 2014-10-27 |
| 1609285246 | Joseph Hunter Steiner | Specialist | 3224 Dijon Ave, Ocean Springs, MS 39564-8520 | 2014-08-07 |
| Find all providers in OCEAN SPRINGS | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
Please comment or provide details below to improve the information on CHARLES J WILSON.
| 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.