Sharon Charrisse Bland, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01957 Issued in TX

Practice address

2910 Center
Deer Park, TX 77536

Phone

(281) 479-5941

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deer Park Family Clinic, P.a.

  • Family Medicine Physician
  • Deer Park, TX
  • NPI 1710066519
  NPD (past)
• Emergency Medicine Associates

  • Emergency Medicine Physician
  • Reston, VA
  • NPI 1861892879
  NPD (past)
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1609813765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CENTER",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-479-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 CENTER",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-479-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "SHARON",
        "middle_name": "CHARRISSE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA17313",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khushboo Bhakta, PT, DPT
• Asha Bhatt, PHARM D.
• Bio-Medical Applications of Texas, Inc.
• Michael James Blackshear, R.T.
• Nicole Ivett Blanco, APRN-CNP
• Keniesha Miller Bolden, DNP, MSN, APRN, NP-C
• Antoya Booker, RPH
• Devri Parrish Brown, RN
• Jennifer Linnea Brown, LCDC-I
• Michele Brubaker

• Medical Physician Assistant in Deer Park, TX
• Providers in Deer Park, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.