Charles Wilson (NPI# 1154338382, PAC ID# 6305031360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1154338382 |
| PAC ID by PECOS | 6305031360 |
| Professional Enrollment ID | I20101116000694 |
| Full Name | Charles Wilson |
| Address |
808 Buffalo St Farmville VA 23901-1112 |
| Phone Number | 4343923375 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490090 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 808 Buffalo St, Farmville, VA 23901-1112 | 4343923375 |
| Street Address |
808 BUFFALO ST |
| City | FARMVILLE |
| State | VA |
| Zip | 23901-1112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Blaisdell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Rhian Mccann | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jonathan Lundberg | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jennifer Mohan | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Sarah Parker | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Shashidharan B Ayer | Nephrology | 1801 E 3rd St, Farmville, VA 23901-0245 | |
| Ripon W La Roche | Ophthalmology | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| St Claire R La Roche | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Ripon W La Roche Iii | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Edwina C Wilson | Family Medicine | Central Virginia Health Services Inc | 833 Buffalo St, Farmville, VA 23901-1111 |
| Find all physicians in zip 23901 | |||
| City | FARMVILLE |
| Zip Code | 23901 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | FARMVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Charles Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.