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CHARLES JOSEPH WINE M.D.
NPI 1740403088
Otolaryngology in Tahlequah, OK

Active since April 11, 2007
100 S BLISS AVE, TAHLEQUAH, OK 74464(918) 458-3360(918) 458-3511 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Joseph Wine M.d. NPPES

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

CHARLES JOSEPH WINE M.D. (NPI 1740403088) is an individual otolaryngology provider in Tahlequah, Oklahoma, licensed in Oklahoma (9465) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1740403088
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameCHARLES JOSEPH WINECredential: M.D.
Location Address100 S BLISS AVETahlequah, OK 74464-2512
Mailing Address3117 Hickory Stick RdOklahoma City, OK 73120-6001 · (405) 751-9274
Phone(918) 458-3360
Fax(918) 458-3511
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1740403088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OK · 9465
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
100 S BLISS AVE, Tahlequah, OK 74464
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Other Identifiers 2

Medicare ID-Type Unspecified8HZ79XOK · Medicare Provider#
Medicare UPIND35414OK

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.

PATRICK WAYNE SHARP DO
Emergency Medicine
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (189) 458-3100
HASTINGS INDIAN MEDICAL CENTER
General Acute Care Hospital (Rural)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
DR. ADAM K RICHARDS DPT
Physical Therapist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3491
JACOB EDWARD DICKERSON DNAP
Nurse Anesthetist, Certified Registered
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
DR. BARINDER PAUL BASSI DPM
Podiatrist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-3780
DR. STEVEN RAY SCOTT PHARMD
Pharmacist (Pharmacotherapy)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
MRS. CHERYL DELORES TARVER CNM
Advanced Practice Midwife
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3343
DR. GERALD RAY BROWN JR. PHARMD
Pharmacist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3207

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 Wine's NPI number?

The NPI number for Charles Wine is 1740403088. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Charles Wine located?

Charles Wine practices at 100 S Bliss Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-3360.

What is Charles Wine's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Charles Wine was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.