Charles R Wilson (NPI# 1295933471, PAC ID# 4486722840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1295933471 |
| PAC ID by PECOS | 4486722840 |
| Professional Enrollment ID | I20190225001720 |
| Full Name | Charles R Wilson |
| Organization Legal Name | ST. JOSEPH'S HOSPITAL AND HEALTH CENTER |
| Address |
2500 Fairway St Dickinson ND 58601-2639 |
| Phone Number | 7014564000 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0547177560 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351336 | CHI ST ALEXIUS HEALTH DICKINSON |
| 050013 | ADVENTIST HEALTH ST HELENA |
| Address | Phone | Organization |
|---|---|---|
| 2500 Fairway St, Dickinson, ND 58601-2639 | 7014564000 | ST. JOSEPH'S HOSPITAL AND HEALTH CENTER |
| 6 Woodland Rd, Suite 205, Saint Helena, CA 94574-9501 | 7079636448 | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 80% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 37% |
| Organization Legal Name | ST. JOSEPH'S HOSPITAL AND HEALTH CENTER |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Hardy | Nurse Practitioner | St. Joseph's Hospital and Health Center | 95 Nw 2nd St, Beach, ND 58621 |
| Heather Freitag | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Engelbert Tito Ranada | Internal Medicine | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Arlys M Jorda | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Tammy J Grosulak | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Shad W Brophy | Physician Assistant | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Thomas F Arnold | Obstetrics/gynecology | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Asher Zelikson | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Ronald J Beare | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Lorrissa L Bohlman | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Street Address |
2500 FAIRWAY ST |
| City | DICKINSON |
| State | ND |
| Zip | 58601-2639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Freitag | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Engelbert Tito Ranada | Internal Medicine | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Arlys M Jorda | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Tammy J Grosulak | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Shad W Brophy | Physician Assistant | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Thomas F Arnold | Obstetrics/gynecology | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Asher Zelikson | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Ronald J Beare | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Lorrissa L Bohlman | Certified Registered Nurse Anesthetist (crna) | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Brian E Ohara | Pediatric Medicine | St. Joseph's Hospital and Health Center | 2500 Fairway St, Dickinson, ND 58601-2639 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica A Wald | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Jeffery D Stockwell | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Emily Suzanne Fernandez | Family Medicine | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Carla Hildebrandt Folske | Certified Registered Nurse Anesthetist (crna) | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Magarya S Waitara | General Surgery | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Hannah J Addom-tetteh | General Surgery | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Clark J Fullmer Ii | Podiatry | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Kami L Peterson | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Anna Jade Newby | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Gregg R Kovacs | Orthopedic Surgery | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Find all physicians in zip 58601 | |||
| City | DICKINSON |
| Zip Code | 58601 |
| Specialty | GENERAL SURGERY |
| City + Specialty | DICKINSON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charles R Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.