CHARLIE K. WILSON JR. (NPI# 1649688656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649688656 |
| Entity Type | Individual |
| Full Name | CHARLIE K. WILSON JR. |
| Credential | CRNA |
| Practice Address |
800 Raven Hill Drive Atchison KS 66002 |
| Practice Telephone | 9133672131 |
| Practice Fax Number | 9136742023 |
| Mailing Telephone | 9133672131 |
| Mailing Fax Number | 9136742023 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 557391 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2014014788 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050926 | Charlie Dee Wilson | Orthopaedic Surgery | 1885 El Paseo St Apt 33212, Houston, TX 77054-3069 | 2017-05-11 |
| 1538635115 | Charlie Isiah Wilson Jr. | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2018-10-22 |
| Street Address |
800 RAVEN HILL DRIVE |
| City | ATCHISON |
| State | KS |
| Zip Code | 66002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719035 | Steven L Rovenstine | Family Medicine | 800 Raven Hill Drive, Atchison, KS 66002 | 2006-02-16 |
| 1124381538 | Charles Bradley Hirst | Physician Assistant | 800 Raven Hill Drive, Atchison, KS 66002 | 2012-06-20 |
| 1780946053 | Darin E Allen | Anesthesiology | 800 Raven Hill Drive, Atchison, KS 66002 | 2012-06-13 |
| 1467718858 | Molly Ann Vanpetten | Internal Medicine | 800 Raven Hill Drive, Atchison, KS 66002 | 2012-04-10 |
| 1114245404 | Melissa Ann Kocour | Radiology Practitioner Assistant | 800 Raven Hill Drive, Atchison, KS 66002 | 2010-05-11 |
| 1548431703 | Jeffrey P Flasschoen | Physician Assistant | 800 Raven Hill Drive, Atchison, KS 66002 | 2008-03-17 |
| 1700055837 | Atchison Hospital Association | General Acute Care Hospital | 800 Raven Hill Drive, Atchison, KS 66002-1297 | 2008-02-22 |
| 1578609236 | David W. Hart | Registered Nurse | 800 Raven Hill Drive, Atchison, KS 66002 | 2007-01-29 |
| 1083668719 | Atchison Hospital Association | Medicare Defined Swing Bed Unit | 800 Raven Hill Drive, Atchison, KS 66002-9204 | 2006-05-19 |
| 1770536559 | Atchison Hospital Association | Home Health | 800 Raven Hill Drive, Atchison, KS 66002-9204 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231312 | Atchison Dental Associates 2 Pa | Dentist | 111 North 5th Street, Atchison, KS 66002 | 2018-07-02 |
| 1730614918 | Marilyn Franck Glenn | Counselor | 107 N. 6th St., Suite #4, Atchison, KS 66002 | 2017-04-26 |
| 1508299108 | Rachel Dawn Gauntt Weaver | Social Worker | 2135 Main Street, Atchison, KS 66002 | 2013-08-19 |
| 1154660520 | Melinda Pregont | Chiropractor | 310 Commercial Street, Atchison, KS 66002 | 2013-02-05 |
| 1265711675 | Atchison Community Health Clinic Inc | Dentist | 1412 North 2nd St., Atchison, KS 66002 | 2011-08-16 |
| 1093031585 | Pamela Jane Rizza | Family Medicine | 810 Ravenhill Drive, Atchison, KS 66002 | 2010-04-09 |
| 1730410002 | Kansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 400 South 10th Street, Atchison, KS 66002 | 2010-01-26 |
| 1679785893 | John M Speckhals | Counselor | 1301 N 2nd Street, Atchison, KS 66002 | 2007-05-03 |
| 1134284680 | County of Atchison | Nursing Care | 1419 North 6th, Atchison, KS 66002 | 2006-12-26 |
| 1437218351 | Mandy Kay Uhler | Psychologist | 1301 N 2nd, Atchison, KS 66002 | 2006-12-06 |
| Find all providers in zip 66002 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043591001 | Rebecca Rene' Boust | Nurse Anesthetist, Certified Registered | 800 Ravenhill Dr, Atchison, KS 66002-9204 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914277 | Steel Anesthesia Services Pa | Nurse Anesthetist, Certified Registered | 411 N Campus Dr, Garden City, KS 67846-6195 | 2020-08-26 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1700431228 | Kari Kreger | Nurse Anesthetist, Certified Registered | 508 Douglas St, Jetmore, KS 67854 | 2019-08-02 |
| 1821509753 | Kolton Levi Tanner Alexander | Nurse Anesthetist, Certified Registered | Rooks County Heath Center 1210 N Washington, Plainville, KS 67663 | 2017-10-18 |
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1922520725 | Landmark Anesthesia of Kansas LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St # 300, Overland Park, KS 66211-1501 | 2017-07-13 |
| 1033648340 | Alexis Zecy | Nurse Anesthetist, Certified Registered | 10203 Bond St, Overland Park, KS 66214-2724 | 2017-06-08 |
| 1386183481 | Melissa Albers | Nurse Anesthetist, Certified Registered | 412 N Mulberry Ct, Gardner, KS 66030-1723 | 2017-02-22 |
| 1700334067 | Superior Anesthesia | Nurse Anesthetist, Certified Registered | 2913 Yaeger Dr, Winfield, KS 67156-8533 | 2016-09-15 |
| 1518316744 | Bree Howard | Nurse Anesthetist, Certified Registered | 2101 Tomahawk Rd, Mission Hills, KS 66208-1950 | 2016-06-08 |
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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.