Active NPI
Jean Charles, CSFA
- Surgical Assistant
- Baytown, TX
National Provider Identifier
1407261084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 147747
- Practice address
- 619 Rollingbrook St Apt 115
Baytown, TX 77521-4065 - Phone
- (832) 262-6419
- NPI assigned
- Jun 23, 2014
- Last updated
- Sep 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 147747 | TX | |
| Surgical Assistant | 246ZC0007X | 147747 | TX | Primary |
Addresses
Primary practice location
619 Rollingbrook St Apt 115
Baytown, TX 77521-4065
Mailing address
619 Rollingbrook St Apt 115
Baytown, TX 77521-4065
Phone (832) 262-6419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147747 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411257600000",
"number": "1407261084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 ROLLINGBROOK ST APT 115",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775214065",
"telephone_number": "832-262-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 ROLLINGBROOK ST APT 115",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775214065",
"telephone_number": "832-262-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "JEAN",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "147747",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "147747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
- Manisha Chandalia, MD
- Changing Tides Wellness and Advisors PLLC
- Charles D Wilkins
- Charles Holt
- Elissa Charles
- Charlisa's Voice Family Foundation (Express Courier Services)
- Leslie Chase
- Bailey Renee Chatelain
- Jose Manuel Chavarria, SURGICAL ASSISTANT
- Chca Bayshore LP (Women's Care Center-Baytown, a department of HCA Houston Healthcare Southeast)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.