Active NPI
Carolyn Bland
- Physician Assistant
- Wexford, PA
National Provider Identifier
1760799373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA054455
- Practice address
- 119 Vip Dr
Upmc Shadyside Hospital
Wexford, PA 15090-7976 - Phone
- (412) 533-2202
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054455 | PA | Primary |
Addresses
Primary practice location
119 Vip Dr
Upmc Shadyside Hospital
Wexford, PA 15090-7976
Mailing address
106 Meadow CT
Upmc Shadyside Hospital
Pittsburgh, PA 15229-2164
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carolyn.a.bland@upmcdirect.com | UPMC |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054455 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1760799373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MEADOW CT",
"address_2": "UPMC SHADYSIDE HOSPITAL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152292164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 VIP DR",
"address_2": "UPMC SHADYSIDE HOSPITAL",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907976",
"telephone_number": "412-533-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054455",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carolyn.a.bland@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.