NPIMap

Organization Active NPI

Charles F. Wilson, D.P.M., P.C.

  • Primary Podiatric Medicine Podiatrist
  • Silver Spring, MD
National Provider Identifier
1053573303
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
644 Issued in MD
Legal business name
CHARLES F. WILSON, D.P.M., P.C.
Practice address
13100 New Hampshire Ave
Silver Spring, MD 20904-3358
Phone
(301) 384-7687
Fax
(301) 236-4609
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Frederick Wilson, D.P.M.NPI 1730275322
Title
Chairman
Phone
(301) 384-7687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 644 MD Primary

Addresses

Primary practice location

13100 New Hampshire Ave
Silver Spring, MD 20904-3358

Mailing address

13100 New Hampshire Ave
Silver Spring, MD 20904-3358
Phone (301) 384-7687

Other identifiers 1

IdentifierTypeStateIssuer
370458100MedicaidMD

National Provider Directory

National Provider Directory

Locations

13100 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 377-2859

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3844/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1053573303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043358",
            "telephone_number": "301-384-7687",
            "fax_number": "301-236-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043358",
            "telephone_number": "301-384-7687",
            "fax_number": "301-236-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F. WILSON, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "301-384-7687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370458100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.