Charles V Wilson M D P a

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CHARLES V WILSON M D P A

Practice address

3525A US Highway 17
Fleming Island, FL 32003-7122

Phone

(904) 215-3880

Fax

(904) 215-3883

NPI assigned

Mar 7, 2008

Last updated

Nov 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Van Buren Wilson Jr., MDNPI 1699702910

Title

President

Phone

(904) 215-3880

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Charles V. Wilson Jr., MD

  • Specialist
  • Fleming Island, FL
  • NPI 1699702910
  Authorized official Same address or phone
• Phillip Mark Bruner, M.D.

  • Obstetrics & Gynecology Physician
  • Washington, IA
  • NPI 1114902590
  NPD (past)
• Heather Daneen Burleson, PA-C

  • Medical Physician Assistant
  • Hendersonville, TN
  • NPI 1962691287
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1629248422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525A US HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037122",
            "telephone_number": "904-215-3880",
            "fax_number": "904-215-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525A US HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037122",
            "telephone_number": "904-215-3880",
            "fax_number": "904-215-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES V WILSON M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VAN BUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-215-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryne Cataldo
• James Brandon Causey, DPT
• Colin Cerwonka
• Lindsey Atkins Chambers, DPT
• Michelle Nicole Charette, ARNP
• Lisa M Chekanowsky, ATC
• Corallynn S Chesser
• Sian Chisholm, M.D.
• Elizabeth Susan Chouinard, APRN
• Gabrielle Cintron, OD

• Obstetrics & Gynecology Physician in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.