CHARLES A. WILSON D.O., LLC
NPI 1720393937
Family Medicine in Ewa Beach, HI

Active since August 11, 2010
91-2139 FORT WEAVER RD, SUITE 213, EWA BEACH, HI 96706(808) 677-8008(808) 677-8007 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles A. Wilson D.o., Llc NPPES

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

CHARLES A. WILSON D.O., LLC (NPI 1720393937) is a healthcare organization registered as a family medicine in Ewa Beach, Hawaii and active in the NPI registry since August 2010. The organization lists Charles Ashley Wilson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1720393937
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHARLES A. WILSON D.O., LLC
Location Address91-2139 FORT WEAVER RD, SUITE 213Ewa Beach, HI 96706-3607
Mailing Address91-2139 Fort Weaver Rd, Suite 213Ewa Beach, HI 96706-3607 · (808) 677-8008 · Fax (808) 677-8007
Fax(808) 677-8007
Organization SubpartNo
Authorized OfficialCharles Ashley WilsonSole Member · (808) 744-1906
Enumeration DateAugust 11, 2010
NPI 1720393937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in HI · DOS 1154
Definition
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.
91-2139 FORT WEAVER RD, Ewa Beach, HI 96706

Other Identifiers 3

Medicaid597081HI
Medicare PINH102651HI
Medicare UPINH23226HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
91-2139 FORT WEAVER RD, SUITE 210
EWA BEACH, HI 96706
Clinic/Center (Medical Specialty)
91-2139 FORT WEAVER RD, SUITE 309
EWA BEACH, HI 96706
Allergy & Immunology (Allergy)
91-2139 FORT WEAVER RD, SUITE 303
EWA BEACH, HI 96706
Physical Therapist
91-2139 FORT WEAVER RD, STE 210
EWA BEACH, HI 96706
Ophthalmology
91-2139 FORT WEAVER RD, SUITE 202
EWA BEACH, HI 96706
General Practice
91-2139 FORT WEAVER RD, SUITE 213
EWA BEACH, HI 96706
Clinic/Center (Genetics)
91-2139 FORT WEAVER RD, STE 100
EWA BEACH, HI 96706
Psychiatry & Neurology (Neurology)
91-2139 FORT WEAVER RD, SUITE 300
EWA BEACH, HI 96706

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 A. Wilson D.O., LLC's NPI number?

The NPI number for Charles A. Wilson D.O., LLC is 1720393937. It was assigned to this organization in the NPPES registry on August 11, 2010.

Where is Charles A. Wilson D.O., LLC located?

Charles A. Wilson D.O., LLC is located at 91-2139 Fort Weaver Rd Suite 213, Ewa Beach, HI 96706. The listed phone number is (808) 677-8008.

What is Charles A. Wilson D.O., LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Charles A. Wilson D.O., LLC was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.