DR. CHARLES EVERETT WILSON (NPI# 1114295896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114295896 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EVERETT WILSON |
| Credential | M.D. |
| Practice Address |
2211 Fernwood Ct Grand Junction CO 81506-6062 |
| Practice Telephone | 9702548096 |
| Mailing Telephone | 9702548096 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 13377 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO LICENSE NUMBER | 13377 | 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 |
| 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 |
| 1295933471 | Charles Richard Wilson | Surgery | 6 Woodland Rd Ste 205, Saint Helena, CA 94574-9501 | 2007-07-10 |
| Street Address |
2211 FERNWOOD CT |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340802 | Epiphany Dermatology of Colorado, LLC | Dermatology | 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 | 2020-06-09 |
| 1790147783 | Rachael Hilton Kappius | Dermatology | 2643 Patterson Rd Ste 506, Grand Junction, CO 81506-1937 | 2016-03-28 |
| 1932181328 | Amy Paul | Dermatology | 2655 Little Bookcliff Dr, Grand Junction, CO 81501-8801 | 2005-11-19 |
| 1003130725 | Travis J. Morrell | Dermatology | 2655 Little Bookcliff Dr, Grand Junction, CO 81501-8801 | 2010-03-24 |
| 1952634933 | Richard E. Stiefler, M.d. | Dermatology | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8857 | 2009-09-09 |
| 1992992150 | C.w. Derm, LLC | Dermatology | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8858 | 2007-10-01 |
| 1265624860 | Matthew R. Donaldson | Dermatology | 2655 Little Bookcliff Dr, Grand Junction, CO 81501-8801 | 2007-08-16 |
| 1497871073 | Mountain West Dermatology, PC | Dermatology | 2655 Little Bookcliff Dr, Grand Junction, CO 81501-8801 | 2007-03-22 |
| 1023076122 | Leroy Arthur Weber | Dermatology | 2655 Little Bookcliff Dr, Grand Junction, CO 81501-8801 | 2006-05-01 |
| 1750345690 | Matthew J Deeths | Dermatology | 2655 Little Bookcliff Dr, Grand Junction, CO 81501-8801 | 2006-04-17 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on DR. CHARLES EVERETT 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.