DR. CHARLES WILES (NPI# 1861482986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861482986 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WILES |
| Credential | MD |
| Practice Address |
462 Grider St Dk Miller Building Miller Bldg. Buffalo NY 14215-3021 |
| Mailing Address |
462 Grider St Dk Miller Building Buffalo NY 14215-3021 |
| Practice Telephone | 7168985103 |
| Practice Fax Number | 7168983194 |
| Mailing Telephone | 7168985186 |
| Mailing Fax Number | 7168983194 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
D0024285 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03037203 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689171399 | Charles Alexander Wiles | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, D-3100 Medical Center North, Nashville, TN 37232-2358 | 2018-04-09 |
| 1790807881 | Charles Preston Wiles Jr. | Psychiatry & Neurology | 291 Whitney Ave, Suite 303, New Haven, CT 06511-3724 | 2007-04-06 |
| Street Address |
462 GRIDER ST DK MILLER BUILDING MILLER BLDG. |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195395 | Kara Anne Woods | Physician Assistant | 462 Grider St, Buffalo, NY 14215-3098 | 2005-06-21 |
| 1396355095 | Jenna Elizabeth Nassar | Hospitalist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-08-06 |
| 1962010272 | Jannet Li Harkins | Registered Nurse | 462 Grider St, Buffalo, NY 14215-3021 | 2020-07-22 |
| 1831717172 | Toluwanimi Mercy Aladesua | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-07-13 |
| 1568088854 | Elizabeth Ifeyironwa Onyechi | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-06-22 |
| 1285257949 | Jianhua Wu | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-28 |
| 1710500277 | Calvin James Meaney | Pharmacist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-19 |
| 1033731963 | Kaylyn Bunz | Counselor | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-14 |
| 1356963623 | Holly Renee Johnson | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-10 |
| 1023630522 | Kevin Michael Todd | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224317 | Julie Kosmerl | Surgery | 100 High St, Buffalo, NY 14203-1126 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442258 | Northern Westchester Surgical PC | Surgery | 672 Stoneleigh Ave Ste C116, Carmel, NY 10512-4635 | 2018-10-10 |
| 1902248248 | Stanley Wesotski | Surgery | 28 Whitney Gate, Smithtown, NY 11787-1747 | 2013-07-29 |
| 1942596762 | Isadora C Botwinick | Surgery | Hsc Level 19 Room 068, Stony Brook, NY 11794 | 2011-06-20 |
| 1912296195 | Elizabeth Kiselak | Surgery | 5 Summit Ave., Suite 105, Hackensack, NY 07601 | 2011-03-29 |
| 1144546995 | Michael Antonio Vella | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 | 2010-04-19 |
| 1952539967 | Amie L Lucia | Surgery | 750 East Adams St Ste. 4835, Syracuse, NY 13210 | 2009-06-29 |
| 1083853428 | Molly Elizabeth Moore | Surgery | 205 Hammocks Dr, Orchard Park, NY 14127-1683 | 2009-02-09 |
| 1356587653 | Andrew Joseph Deroo | Surgery | 43 New Scotlland Dr, Mc-194, Albany, NY 12208 | 2008-12-17 |
| 1831367929 | Fausto Y Vinces Do Pllc | Surgery | 136 Fieldpoint Dr, Irvington, NY 10533-1858 | 2008-02-12 |
| 1104027366 | Sofia Yusuf Naz | Surgery | 199 Underhill St, Yonkers, NY 10710-3810 | 2007-05-29 |
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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.