WESLEY D. CARLISLE (NPI# 1346627445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346627445 |
| Entity Type | Individual |
| Full Name | WESLEY D. CARLISLE |
| Credential | MD, DMD |
| Practice Address |
1501 Kings Hwy Shreveport LA 71103 |
| Mailing Address |
1501 Kings Hwy Shreveport LA 71103-4228 |
| Practice Telephone | 3188132625 |
| Mailing Telephone | 3186755000 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 302556 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1501 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
| 1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
| 1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
| 1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
| 1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
| 1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942391362 | Frank W Harmon | Oral & Maxillofacial Surgery | 2120 Bert Kouns, Suite D, Shreveport, LA 71118 | 2006-09-28 |
| 1558688309 | Stavan Yogendra Patel | Oral & Maxillofacial Surgery | 1501 Kings Hwy, Department of Oral Surgery, Shreveport, LA 71103-4228 | 2010-05-03 |
| 1700118510 | James W. Sikes, Jr. Dmd, Md, LLC | Oral & Maxillofacial Surgery | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2010-02-03 |
| 1255532842 | Jennifer Woerner | Oral & Maxillofacial Surgery | 1501 Kings Hwy, Department of Oral Surgery, Shreveport, LA 71103-4228 | 2007-05-30 |
| 1417992249 | Louisiana State University Health Sciences Center | Oral & Maxillofacial Surgery | 1501 Kings Hwy, Lsuhsc-s Clinics, Shreveport, LA 71103-4228 | 2006-06-17 |
| 1356345250 | James F Batte | Oral & Maxillofacial Surgery | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932414851 | Michael D. Daigle Dds Apc | Oral & Maxillofacial Surgery | 100 Melissa Ln, Houma, LA 70360-4058 | 2010-08-16 |
| 1598927196 | Ashraf R Heram | Oral & Maxillofacial Surgery | 1100 Florida Ave # 220, New Orleans, LA 70119-2714 | 2008-06-26 |
| 1194996637 | Richard Tipery Akin | Oral & Maxillofacial Surgery | 614 Connells Park Ln, Baton Rouge, LA 70806-6534 | 2008-03-12 |
| 1114121639 | Hugo St Hilaire | Oral & Maxillofacial Surgery | 2820 Napoleon Ave Ste 810, New Orleans, LA 70115-8235 | 2007-06-11 |
| 1477630515 | Richard Tipery Akin Dds Md Apc | Oral & Maxillofacial Surgery | 614 Connells Park Lane, Baton Rouge, LA 70806 | 2006-11-01 |
| 1033292008 | Michael Delano Daigle | Oral & Maxillofacial Surgery | 100 Melissa Lane, Houma, LA 70360 | 2006-10-23 |
| 1508877580 | Ronald B Marks | Oral & Maxillofacial Surgery | 1403 Peterman Drive, Alexandria, LA 71301 | 2006-08-11 |
| 1275513798 | Southpark Community Hospital | Oral & Maxillofacial Surgery | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2006-01-19 |
| 1588641096 | Alexandria Oral Surgery Associates LLP | Oral & Maxillofacial Surgery | 1403 Peterman Dr, Alexandria, LA 71301-3433 | 2005-12-27 |
| 1407848443 | Ochsner Clinic LLC | Oral & Maxillofacial Surgery | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on WESLEY D. CARLISLE.
| 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.