Sherissa Chang-Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104057 Issued in FL

Practice address

7171 N Dale Mabry Hwy
Suite 501
Tampa, FL 33614-2630

Phone

(813) 935-3221

Fax

(813) 933-8149

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Altea Medical Florida PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Cloud, FL
  • NPI 1083493860
  Medicare reassignment NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Physician Assistant

  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  FL

  Medicare reassignment NPD
• Chang-Williams Medical, LLC

  • Medical Physician Assistant
  • Tampa, FL
  • NPI 1992698781
  NPD Authorized official
• Edward W. Braun MD PA

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1811002546
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982726410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 N DALE MABRY HWY",
            "address_2": "SUITE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142630",
            "telephone_number": "813-935-3221",
            "fax_number": "813-933-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N DALE MABRY HWY",
            "address_2": "SUITE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142630",
            "telephone_number": "813-935-3221",
            "fax_number": "813-933-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG-WILLIAMS",
        "first_name": "SHERISSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laxmipradha Chandrasekar, MD
• Sanjay Chandrasekhar, M.D.
• Satish Chandrashekaran, MD
• Joshua Kora Chandy, DO
• Chang-Williams Medical, LLC
• Chih-Chien Charlton Chang, M.D.
• John Chang, M.D.,FACP,FACG
• Juliana Y. Chang, DMD
• Peter Travis Riad Chang, M.D.
• Simone M Chang, MD

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.