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Individual provider Active NPI

Charles Joseph Wanker, MD

  • Family Medicine Physician
  • Iola, KS
National Provider Identifier
1609835446
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0438173 Issued in KS
Practice address
2051 N State St
Iola, KS 66749
Phone
(620) 380-6600
Fax
(620) 380-6215
NPI assigned
Mar 21, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01057134A IN
Family Medicine Physician 207Q00000X 0438173 KS Primary

Addresses

Primary practice location

2051 N State St
Iola, KS 66749

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707000522 KS Practitioner - Family Practice 1254643125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1017 E Market St
La Cygne, KS 66040-9102
Phone (913) 757-4575

11155 Tucker Rd
Pleasanton, KS 66075-8401
Phone (913) 352-8379

2051 N State St
Iola, KS 66749-1677
Phone (620) 380-6600

2322 S Main St
Fort Scott, KS 66701-3026
Phone (622) 022-3804

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

3015 N Michigan St
Pittsburg, KS 66762-2546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057134AINMDFamily Medicine Physician
0438173KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas Inc CurrentSince Aug 1, 2015 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas, Inc CurrentSince Aug 1, 2015 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients
ML-Op Iola LLC Past Accepting new patients
Yates Operator, LLC Past Accepting new patients
Saint Luke's Hospital of Allen County, Inc Past Accepting new patients
Moran Nursing, LLC Past Accepting new patients

Locations

102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

Interoperability endpoints

  • Direct secure messaging: charles.wanker@chcsek.eclinicaldirectplus.com

Organizations & group practices 8

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

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1609835446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N STATE ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "66749",
            "telephone_number": "620-380-6600",
            "fax_number": "620-380-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKER",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057134A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0438173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.