CARSON KISNER


Address: 60 Physicians Dr, Jackson, TN 38305-2070
Phone: 7312401747

CARSON KISNER (NPI# 1235558537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235558537
Entity Type Individual
Full Name CARSON KISNER
Credential MD
Practice Address 60 Physicians Dr
Jackson
TN 38305-2070
Practice Telephone 7312401747
Practice Fax Number 7312401755
Mailing Telephone 7312401747
Mailing Fax Number 7312401755
Enumeration Date 2014-04-15
Last Update Date 2020-07-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
60769 TN Allopathic & Osteopathic Physicians

Office Location

Street Address 60 PHYSICIANS DR
City JACKSON
State TN
Zip Code 38305-2070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568470235 Nicole S Kearney Pediatrics 60 Physicians Dr, Jackson, TN 38305-2070 2006-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376157099 Kathryn Taylor Parvin Radiology 969 Lakeland Dr, Jackson, MS 39216-4699 2020-09-01
1780021170 Ajinkya Shrinivas Desai Radiology 2500 N State St, Jackson, MS 39216-4500 2013-05-27
1538326798 Aaron Raphael Barnard Brandis Radiology 620 Skyline Dr, Jackson, TN 38301-3923 2008-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487277042 Via Institutes Pllc Radiology 8886 Classic Dr, Memphis, TN 38125-8839 2020-05-18
1609334713 Paul Wooten Radiology 1729 Curie St, Alcoa, TN 37701-1700 2019-03-07
1295112498 David R Zielske Radiology 839 Treemont Ct, Nashville, TN 37220-1536 2015-04-27
1760820625 John Dalton Braun Radiology 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 2013-06-12
1942551270 Sam J Williams IIi Radiology 1610 Shore View Ln, Hixson, TN 37343-4646 2012-09-26
1144485418 Vijaykumar Agrawal Radiology 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 2008-07-25
1780618942 Tennessee Phlebology PC Radiology 9020 Overlook Blvd Ste 150, Brentwood, TN 37027-2727 2006-07-11
1104883966 Jason Glen Funderburk Radiology 116 Concord Rd, Suite 500, Knoxville, TN 37934-2940 2006-04-27
1851865794 Zeni Interventional Pllc Radiology 6126 Poplar Ave, Memphis, TN 38119-4710 2019-01-14
1841799707 Southern Pain and Regenerative Medicine PC Radiology 176 Briarwood St Ste B, Camden, TN 38320-1456 2018-02-06
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Competitor

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City JACKSON
Zip Code 38305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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