Charles Henry Wile, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

14692 Issued in SC

Practice address

1021 Pinnacle Point Dr., Suite 200
Moncrief Medical Home US Army
Columbia, SC 29223-5740

Phone

(803) 562-2129

Fax

(803) 419-3758

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bestpractices of South Carolina, PC

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1154302446
  NPD (past)
• Pee Dee Emergency Physicians

  • Emergency Medicine Physician
  • Hartsville, SC
  • NPI 1669667606
  NPD (past)
• Neuse River Emergency Physicians

  • Emergency Medicine Physician
  • Roxboro, NC
  • NPI 1467616862
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1578533741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PINNACLE POINT DR., SUITE 200",
            "address_2": "MONCRIEF MEDICAL HOME US ARMY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235740",
            "telephone_number": "803-562-2129",
            "fax_number": "803-419-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PINNACLE POINT DR., SUITE 200",
            "address_2": "MONCRIEF MEDICAL HOME US ARMY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235740",
            "telephone_number": "803-562-2129",
            "fax_number": "803-419-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILE",
        "first_name": "CHARLES",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "14692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146926",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Wildes
• Wildewood Downs Retirement LLC
• Wildewood Retirement LLC
• Anna Kathryn Wilds
• Marqeita Wilds, COSMETOLOGLY LICENSE
• Rachel Wiler, PA-C
• Jacquelyn L Wiles, DDS
• Brian R. Wiley, P.T.
• Sarah N Wilhelm, PHARM.D.
• Amy Wilkerson

• Emergency Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.