Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carisa Rose Champion, DO, JD, MPH

Individual provider Emergency Medicine Physician · NPI 1053765321

Dr. Carisa Rose Champion, DO, JD, MPH is a General Surgery in East Norriton, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Dhhs Phs Naihs Chinle Comprehensive Health Care Facility, a 165-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone: (727) 510-6593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 7928 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 7928 (OK)

Record details

NPI number1053765321
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO , JD , MPH
Sole proprietorYes
NPI enumeratedApril 22, 2016
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dhhs Phs Naihs Chinle Comprehensive Health Care Facility — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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