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Charles A. Wilson D.O., LLC

Family Medicine Physician in Ewa Beach, HI · enumerated 2010 · authorized official Charles Wilson, Sole Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720393937

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Registry record

Entity type Organization (Type 2)
Legal business name Charles A. Wilson D.O., LLC
Practice address 91-2139 Fort Weaver Rd, Suite 213, Ewa Beach, HI, 96706
Fax (808) 677-8007
Enumeration date Aug 11, 2010
Last updated in NPPES Aug 11, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License DOS 1154 (HI) Primary

Authorized official

Name Charles Wilson
Title Sole Member

Other identifiers

Identifier Type State Issuer
597081 Medicaid HI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Charles A. Wilson D.O., LLC?
Charles A. Wilson D.O., LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-11.