Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1538305339 Deactivated / Inactive NPI Female Practitioner

Dr. Charissa Charlene Tan , MD

Pediatrics • Plano, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charissa Tan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2008
NPI Deactivation Date September 23, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Charissa Tan, MD was a registered Pediatrics practicing in Plano, TX. Throughout an active medical career spanning 14 years, Dr. Tan provided care at the practice location at 7800 PRESTON RD STE 300 until profile deactivation on 2022-09-23.

Practice Location & Contact Primary Location

Practice Address

7800 Preston Rd Ste 300

Plano, TX 750243236

Telephone 9726083800
Associated Practice Facility / Clinic
🏢 Physicians For Children Facility NPI 1558771014

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
136 Specialists

Practicing in Plano, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX P0797

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Mariamma Jacob , CPNP

Nurse Practitioner - Pediatrics

NPI 1073863023

Certified Pediatric Nurse Practitioner

NPI 1124219308

Doctor of Medicine (M.D.)

NPI 1366650053

Doctor of Medicine (M.D.)

NPI 1477976660

Doctor of Medicine (M.D.)

NPI 1669760500

Doctor of Medicine (M.D.)

NPI 1679521413

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 23, 2022

Record deactivated on September 23, 2022

NPI Profile Active August 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2015

Registered at 7800 PRESTON RD STE 300, PLANO, TX 750243236 (Tel: 9726083800)

📍
Updated Business Mailing Address August 27, 2015

Registered at 2777 N STEMMONS FWY STE 825, DALLAS, TX 752072508

👤
Provider Name / Credentials Updated August 27, 2015

Recorded as CHARISSA TAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2015

Pediatrics (License #P0797 in TX)

🟢
Initial NPI Registration & Enumeration December 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Charissa Tan. Be the first to share your experience!

Sign in to leave a review for Dr. Charissa Tan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1538305339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2008
Last Update: August 27, 2015
Deactivation Date: September 23, 2022

Mailing Address

2777 N Stemmons Fwy Ste 825

Dallas, TX 752072508

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.