CHARLES STEPHEN WILSON (NPI# 1487859658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487859658 |
| Entity Type | Individual |
| Full Name | CHARLES STEPHEN WILSON |
| Credential | M.D |
| Practice Address |
1500 S 48th St Lincoln NE 68506-1225 |
| Mailing Address |
7430 N Hampton Rd Lincoln NE 68506-1624 |
| Practice Telephone | 4024818944 |
| Mailing Telephone | 4024889181 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
12283 | NE | Allopathic & Osteopathic Physicians |
| 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 |
1500 S 48TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091588 | James Jackson Nora Jr. | Internal Medicine | 1500 S 48th St, Ste 506, Lincoln, NE 68506-1225 | 2005-05-24 |
| 1720524937 | Sarah Elizabeth Froehlich | Physician Assistant | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1276 | 2017-01-11 |
| 1194260208 | Garner Wilson | Physician Assistant | 1500 S 48th St, Ste 400, Lincoln, NE 68506-1276 | 2016-12-28 |
| 1982149373 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1500 S 48th St, Suite 605, Lincoln, NE 68506-1276 | 2016-12-21 |
| 1033567912 | Larissa Hunsberger | Physician Assistant | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1276 | 2016-06-01 |
| 1417305384 | Sarah Dolezal | Physician Assistant | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1276 | 2016-06-01 |
| 1710335336 | Labcorp Nebraska Inc | Clinical Medical Laboratory | 1500 S 48th St, Suite 605, Lincoln, NE 68506-1276 | 2016-05-25 |
| 1881076180 | Jameson S Hofker | Audiologist | 1500 S 48th St, Suite 200, Lincoln, NE 68506-1276 | 2015-06-23 |
| 1417362997 | Courtney Loecker | Nurse Practitioner | 1500 S 48th St, Suite 506, Lincoln, NE 68506-1276 | 2014-06-24 |
| 1215352505 | Emily Kate Plautz | Physician Assistant | 1500 S 48th St, Suite 510, Lincoln, NE 68506-1276 | 2014-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903068 | Matrix Medical Network of Nebraska PC | Internal Medicine | 233 S 13th St Ste 1900, Lincoln, NE 68508-2000 | 2020-05-08 |
| 1013282821 | William Boaz Stason | Internal Medicine | 29 Sandy Pond Rd, Lincoln, MA 01773-2006 | 2012-03-12 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1316025505 | Robert Lee Percell Jr. | Internal Medicine | 1600 S 48th St Ste 600, Lincoln, NE 68506-1275 | 2006-11-02 |
| 1922088657 | Kaliprasad N Ayala | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-01-19 |
| 1346731759 | Cardiovascular Clinic of Nebraska LLC | Internal Medicine | 6940 Van Dorn St Ste 201, Lincoln, NE 68506-2858 | 2018-05-21 |
| 1164666095 | Christopher R Balwanz | Internal Medicine | 1600 S 48th St, Ste 600, Lincoln, NE 68506-1275 | 2009-04-22 |
| 1598880098 | Ajay Chander | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2007-03-21 |
| 1346321981 | Walid Michael Kutayli | Internal Medicine | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2006-10-18 |
| 1295821585 | Anuj Jain | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-10-05 |
| Find all providers in LINCOLN | ||||
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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.