DR. CHARLES A WILSON (NPI# 1295781359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295781359 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A WILSON |
| Credential | D.O. |
| Practice Address |
1280 E Calvada Blvd Pahrump NV 89048-5693 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7757513377 |
| Practice Fax Number | 7757512323 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO1782 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1295781359 | 05 |
| 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 |
1280 E CALVADA BLVD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689690 | Kayla Sue Bonzo | Social Worker | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2019-06-25 |
| 1366917767 | John Sorget | Case Manager/Care Coordinator | 1280 E Calvada Blvd, Pahrump, NV 89048 | 2018-10-11 |
| 1811483522 | Tmhc Inc | Counselor | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2018-07-05 |
| 1619305828 | Samuel Simmons | Physician Assistant | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2013-10-25 |
| 1275799819 | Saira Beg | Family Medicine | 1280 E Calvada Blvd, Ste. 200, Pahrump, NV 89048-5693 | 2008-08-04 |
| 1215193784 | Troy Jesse Schumacher | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2008-08-04 |
| 1285821470 | Peter Antoune Joseph Bou-daher | Physician Assistant | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2007-10-02 |
| 1801912985 | Sandra Jean Smith | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2007-03-21 |
| 1013929843 | Georges Tannoury Md Professional Corporation | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-08-12 |
| 1861432718 | Irene Kiyo Barnett | Internal Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518012624 | Michael A Jonak | Family Medicine | 2780 Homestead Rd Ste 105, Pahrump, NV 89048-5464 | 2007-01-25 |
| 1407915911 | Desert View Family Medical Center | Family Medicine | 1401 S Highway 160, Ste B, Pahrump, NV 89048-4784 | 2006-12-08 |
| 1871556415 | Edward M Harding | Family Medicine | 360 S Lola Ln Bldg B, Pahrump, NV 89048 | 2006-04-06 |
| 1871590570 | Matthew Bruce Roberson | Family Medicine | 1151 S Nevada Highway 160, Pahrump, NV 89048-4700 | 2005-07-07 |
| 1619427291 | Michael D. Reiner Md | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2016-10-07 |
| 1104206697 | Jonathan P Navar | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2015-06-01 |
| 1912313263 | Karanvir Gupta | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2014-07-08 |
| 1134421712 | Canyon Gate Medical Group | Family Medicine | 330 S Lola Ln, Suite# 200, Pahrump, NV 89048-0884 | 2010-12-02 |
| 1841428026 | Marcie Cain | Family Medicine | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2009-06-26 |
| 1275799819 | Saira Beg | Family Medicine | 1280 E Calvada Blvd, Ste. 200, Pahrump, NV 89048-5693 | 2008-08-04 |
| Find all providers in PAHRUMP | ||||
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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.