CHARLES E. WILSON (NPI# 1104823202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104823202 |
| Entity Type | Individual |
| Full Name | CHARLES E. WILSON |
| Credential | M.D. |
| Practice Address |
541 W College St Suite 3500 Florence AL 35630-5326 |
| Practice Telephone | 2567182188 |
| Practice Fax Number | 2567183363 |
| Mailing Telephone | 2567182188 |
| Mailing Fax Number | 2567183363 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2015-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 15126 | MS | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 6987 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4046425 | 05 | |
| AETNA | 4123452 | 01 | |
| PA | HIGHMARK BLUE SHIELD | 1416173 | 01 |
| PALMETTO DMERC | 4661630001 | 01 | |
| AL | 529912610 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4042085 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51509142 | 01 |
| MS | 0126868 | 05 | |
| MS | RAILROAD MEDICARE | 340020200 | 01 |
| AL | RAILROAD MEDICARE | 340020199 | 01 |
| 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 |
541 W COLLEGE ST SUITE 3500 |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529036 | Charles E. Wilson, Md, PC | Urology | 541 W College St, Ste 3500, Florence, AL 35630-5326 | 2005-06-24 |
| 1063872596 | Ecm Tvcc LLC | Internal Medicine | 541 W College St, Suite 1100, Florence, AL 35630-5323 | 2016-02-25 |
| 1437542354 | Leah Bush | Nurse Practitioner | 541 W College St, Suite 1100, Florence, AL 35630-5323 | 2015-03-17 |
| 1366884108 | Melanie Beth Looser | Nurse Practitioner | 541 W College St, Suite 1100, Florence, AL 35630-5323 | 2013-07-22 |
| 1255778577 | Alabama Spine and Pain | Anesthesiology | 541 W College St, Suite 2000, Collins Medical Office Building, Florence, AL 35630-5323 | 2013-05-28 |
| 1346588852 | Ecm Health Group LLC | Internal Medicine | 541 W College St, Florence, AL 35630-5323 | 2013-01-18 |
| 1871849141 | Ryann Elaine Henley | Nurse Practitioner | 541 W College St, Suite 2600, Florence, AL 35630-5323 | 2012-07-24 |
| 1245591577 | Rchp Florence LLC | Internal Medicine | 541 W College St, 3100, Florence, AL 35630-5323 | 2012-06-04 |
| 1265720817 | Infectious Disease Medicine, Inc | Internal Medicine | 541 W College St, Suite 3200, Florence, AL 35630-5323 | 2011-07-18 |
| 1053606335 | Southern Medical Consultants, LLC | Otolaryngology | 541 W College St, Suite 3600, Florence, AL 35630-5323 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1083899108 | Peter P Okelly Md Pa Flor | Urology | 805 Pamplico Hwy Ste B125, Florence, SC 29505-6049 | 2008-01-08 |
| 1518161348 | Shoals Urological Associates PC | Urology | 2122 Helton Dr, Florence, AL 35630-1449 | 2007-06-14 |
| 1639233463 | Florence Urological Assc | Urology | 541 W College St Suite 3300, Florence, AL 35630 | 2006-12-19 |
| 1003844044 | Larry D Rabon | Urology | 306 S Mcqueen St, Florence, SC 29501-4723 | 2006-06-29 |
| 1801836747 | Ronald Glinski | Urology | 800 E Cheves St Ste 350, Florence, SC 29506-2649 | 2006-06-08 |
| 1700846656 | Timothy Alan Moses | Urology | 805 Pamplico Hwy Ste B310, Florence, SC 29505-6068 | 2006-03-24 |
| 1710988902 | Tyrus Andrew Pritchard | Urology | 646 Cox Creek Pkwy, Suite B, Florence, AL 35630-1105 | 2005-08-10 |
| 1174529036 | Charles E. Wilson, Md, PC | Urology | 541 W College St, Ste 3500, Florence, AL 35630-5326 | 2005-06-24 |
| 1811364144 | Advanced Urology of The Pee Dee | Urology | 309 W Pine St, Florence, SC 29501-4726 | 2015-08-21 |
| Find all providers in FLORENCE | ||||
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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.