CHARLES C WILDER (NPI# 1558398545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558398545 |
| Entity Type | Individual |
| Full Name | CHARLES C WILDER |
| Credential | MD |
| Practice Address |
2240 Sutherland Ave Ste 104 Knoxville TN 37919-2333 |
| Mailing Address |
1225 E Weisgarber Rd Suite 200 Knoxville TN 37909-2604 |
| Practice Telephone | 8659090090 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34381 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3856361 | 05 | |
| TN | RR MEDICARE PIN | 110215562 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275562118 | Charles Romeo Wilder II | Optometrist | 15401 Harriet St, Romulus, MI 48174-3069 | 2006-07-02 |
| 1124275680 | Charles Wilder | Psychologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2008-08-26 |
| 1538185525 | Charles D Wilder | Anesthesiology | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2006-07-14 |
| Street Address |
2240 SUTHERLAND AVE STE 104 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145069 | Caroline E Cooley | Internal Medicine | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2005-06-27 |
| 1134653892 | Statcare Outpatient, LLC | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2017-04-19 |
| 1639601396 | Newstat LLC | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2017-03-31 |
| 1558711879 | Alexandria B Geer | Nurse Practitioner | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-06-17 |
| 1306292834 | Lyndsey C Parker | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-05-13 |
| 1801256193 | Jamie Erin Nuyen | Nurse Practitioner | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-02-29 |
| 1801261870 | Megan Ashley Daniels | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-12-02 |
| 1003289612 | Katie Lynne Styke | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-11-04 |
| 1447621040 | Sarah C Myers | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-10-08 |
| 1710357967 | Cheri R Allen | Registered Nurse | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| 1962935254 | Sandra Zaki | Internal Medicine | 333 Forest Oak Dr, Knoxville, TN 37919-6812 | 2017-04-04 |
| 1649647249 | Afc Physicians of Tennessee, PC | Internal Medicine | 9203 Kingston Pike, Knoxville, TN 37922-2318 | 2015-08-31 |
| 1902272099 | Natacha Rigual Soler | Internal Medicine | 320 N Park 40 Blvd Ste A, Knoxville, TN 37923-3624 | 2015-08-12 |
| 1821492158 | East Tennessee Urgent Care | Internal Medicine | 311 S Weisgarber Rd, Knoxville, TN 37919-7504 | 2014-10-15 |
| 1649686742 | Charles Milton Wender Sr. | Internal Medicine | 6205 Apache Tr., Knoxville, TN 37920 | 2014-07-09 |
| 1144630070 | Kristen Annette Mcfarland | Internal Medicine | 1934 Alcoa Hwy Ste 472, Knoxville, TN 37920-1526 | 2014-04-30 |
| 1578983094 | Eva Misra | Internal Medicine | 116 Glenleigh Ct, Ste.2, Knoxville, TN 37934-3097 | 2014-04-23 |
| 1912343542 | Brendan Jonathan Knowles | Internal Medicine | 501 20th St Ste 404, Knoxville, TN 37916-1822 | 2013-05-22 |
| 1851650865 | Kenneth Robert Johnsen | Internal Medicine | 4707 Papermill Dr Ste 200, Knoxville, TN 37909-1907 | 2012-05-10 |
| Find all providers in KNOXVILLE | ||||
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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.