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CHARLES L. WILSON MD
NPI 1376626309
Surgery in Seattle, WA

Active since October 23, 2006
5402 47TH AVE NE, SEATTLE, WA 98105(206) 525-4090(206) 985-2875 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About Charles L. Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES L. WILSON MD (NPI 1376626309) is an individual surgery provider in Seattle, Washington, licensed in Washington (MD00016624) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376626309
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES L. WILSONCredential: MD
Location Address5402 47TH AVE NESeattle, WA 98105-2927
Mailing Address5402 47th Ave NeSeattle, WA 98105-2927 · (206) 525-4090 · Fax (206) 985-2875
Phone(206) 525-4090
Fax(206) 985-2875
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1376626309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WA · MD00016624
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5402 47TH AVE NE, Seattle, WA 98105
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Other Identifiers 1

Medicaid7062144WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY R. WHITE M.D.
Family Medicine
5402 47TH AVE NE
SEATTLE, WA 98105
King County (206) 219-1201
VASECTOMY CLINIC PC
Surgery
5402 47TH AVE NE
SEATTLE, WA 98105
King County (206) 525-4090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1376626309. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Charles Wilson located?

Charles Wilson practices at 5402 47th Ave NE, Seattle, WA 98105. The listed phone number is (206) 525-4090.

What is Charles Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Charles Wilson accept?

Health plans from PacificSource Health Plans list Charles Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Wilson was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.