CHARLES A. WILSON D.O., LLC – NPI #1720393937
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CHARLES A. WILSON D.O., LLC is a provider located in EWA BEACH, HI. NPPES has assigned the NPI number 1720393937 to CHARLES A. WILSON D.O., LLC on August 11, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES A. WILSON D.O., LLC below.

NPI Profile for
CHARLES A. WILSON D.O., LLC

NPI Number
1720393937
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES A. WILSON D.O., LLC
Primary location
91-2139 FORT WEAVER RD
SUITE 213
EWA BEACH, HI 96706-3607
Phone: (808) 677-8008 Fax: (808) 677-8007
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES WILSON
SOLE MEMBER
Phone: (808) 744-1906
Updated
Identifiers

Identifiers for CHARLES A. WILSON D.O., LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDHI597081
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
HI DOS 1154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.