DAVID LEE CARLISLE (NPI# 1649275496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649275496 |
| Entity Type | Individual |
| Full Name | DAVID LEE CARLISLE |
| Credential | MD |
| Practice Address |
1000 Pine St Texarkana TX 75501-5100 |
| Mailing Address |
Po Box 409 Texarkana TX 75504-0409 |
| Practice Telephone | 9037987365 |
| Practice Fax Number | 9037987354 |
| Mailing Telephone | 9037987365 |
| Mailing Fax Number | 9037987354 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E6046 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776653 | David W Carlisle | Counselor | 5372 Lake Saponi Ter, Barboursville, VA 22923-1506 | 2017-08-18 |
| 1326157413 | David J Carlisle | Dentist | 2878 Campus Pkwy, Ste. 1, Riverside, CA 92507-0945 | 2006-08-30 |
| 1760872956 | David Brice Carlisle | Counselor | 10039 Bissonnet St Ste 105, Houston, TX 77036-7838 | 2015-01-27 |
| 1740548783 | David Edward Carlisle | Nurse Anesthetist, Certified Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2012-04-27 |
| 1639231087 | David Charles Carlisle | Dermatology | 165 Scott Ave, Suite 100, Morgantown, WV 26508-8847 | 2006-12-14 |
| 1619902566 | David M Carlisle | Internal Medicine | 200 Medical Plaza, #365, Los Angeles, CA 90095-3075 | 2006-07-11 |
| Street Address |
1000 PINE ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616343 | Sher Lynn Fomby | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-07-10 |
| 1609401959 | Zachary Heath Jones | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-03-06 |
| 1528535143 | Johanna Morgan Hensley | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2018-11-01 |
| 1205388212 | Cristi Anthony Hicks | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2016-10-26 |
| 1861872467 | Karen Denise Marks | Social Worker | 1000 Pine St, Texarkana, TX 75501-5100 | 2015-06-09 |
| 1942601547 | Pam Squared At Texarkana, LLC | Long Term Care Hospital | 1000 Pine St, 6th Floor, Texarkana, TX 75501-5100 | 2014-09-15 |
| 1962819664 | Crystal Lites Speede | Nurse Practitioner | 1000 Pine St, Er, Texarkana, TX 75501-5100 | 2014-07-15 |
| 1295154284 | Rodney Lagrone Jr. | Anesthesiology | 1000 Pine St, Texarkana, TX 75501 | 2014-04-07 |
| 1700211737 | Twice Nice Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1000 Pine St, Texarkana, TX 75501-5100 | 2013-09-10 |
| 1891057618 | Cep America LLC | Family Medicine | 1000 Pine St, Texarkana, TX 75501-5100 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619142072 | George F. Moricz, M.d., P.a. | Specialist | 1002 Texas Blvd Ste 301, Texarkana, TX 75501-5118 | 2008-04-28 |
| 1154474674 | The Specialists for Women of Texarkana Pllc | Specialist | 1002 Texas Blvd Ste 200, Texarkana, TX 75501-5133 | 2007-01-19 |
| 1568419984 | Texarkana Eye Group Plc | Specialist | 3211 Sugar Hill Rd, Texarkana, AR 71854-9219 | 2006-05-30 |
| 1871546051 | Roger Dale House | Specialist | 2401 Summerhill Rd, Suite A, Texarkana, TX 75501-3570 | 2006-05-18 |
| 1104884386 | Mark A Wren | Specialist | 4613 Parkway Dr Ste 1, Texarkana, AR 71854-1142 | 2006-05-03 |
| 1962490458 | Charles Edward Hollingsworth II | Specialist | 5420 Medical Parkway Dr, Texarkana, TX 75503-4622 | 2005-10-10 |
| 1407841695 | Russ Todd Nelson | Specialist | 4303 Texas Blvd, Ste 8, Texarkana, TX 75503-3097 | 2005-09-14 |
| 1063419307 | Hayden H Franks | Specialist | 2011 Moores Ln, Texarkana, TX 75503-1841 | 2005-07-01 |
| 1063419646 | Stanley Cleveland Knowles | Specialist | 1920 Moores Ln, Suite A, Texarkana, TX 75503-4664 | 2005-06-28 |
| 1245235092 | Richard Jackson Payne | Specialist | 2602 Saint Michael Dr, Suite 301, Texarkana, TX 75503-2387 | 2005-06-17 |
| Find all providers in TEXARKANA | ||||
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| 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.