JAMES GERALD CARLISLE (NPI# 1750478707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750478707 |
| Entity Type | Individual |
| Full Name | JAMES GERALD CARLISLE |
| Credential | MD |
| Practice Address |
1433 N 1075 W Ste 104 Farmington UT 84025-2746 |
| Mailing Address |
Po Box 25488 Salt Lake City UT 84125-0488 |
| Practice Telephone | 8012981300 |
| Practice Fax Number | 8012966199 |
| Mailing Telephone | 8004753698 |
| Mailing Fax Number | 8012966199 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5617957-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
5617957-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BCBSUT | 56179571211001 | 01 |
| UT | RR MEDICARE | P00808365 | 01 |
| UT | SELECTHEALTH | 107031591105 | 01 |
| UT | BCBSUT | 56179571210001 | 01 |
| UT | 1750478707 | 05 | |
| UT | DMBA | 847597 | 01 |
| UT | RR MEDICARE | P00808370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851590079 | James L Carlisle | Physical Medicine & Rehabilitation | 515 W Southlake Blvd Ste 100, Southlake, TX 76092-6172 | 2007-07-17 |
| 1902157340 | James Joseph Carlisle | Physical Therapist | 5222 N Royal Dr, Traverse City, MI 49684-6883 | 2012-09-25 |
| 1083644660 | James R Carlisle | Family Medicine | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2006-07-03 |
| Street Address |
1433 N 1075 W STE 104 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| 1508347634 | Mckenzie Elise Stenberg | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2018-08-27 |
| 1811416373 | Sierra Marie Hobberstad | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2017-09-15 |
| 1255879086 | Treesa Steel Ryan | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2017-01-31 |
| 1366883324 | Richard Blair Willis | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2013-07-08 |
| 1508116450 | Brandon S Hermansen | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2012-09-18 |
| 1770891434 | Stephanie Lynn Lemmon | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2010-09-15 |
| 1568774826 | Christopher Ryan Trimble | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2010-07-02 |
| 1740411339 | David Vincent Strain | Internal Medicine | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2009-07-31 |
| 1679738744 | Richard Nelson Irion | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2008-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| 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. |
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|---|---|---|---|---|
| 1508176850 | San Juan Surgical, LLC | Radiology | 622 W Maple St Ste C, Farmington, NM 87401-6589 | 2010-10-19 |
| 1851686158 | Adeel Shahid | Radiology | 263 Farmington Ave, Farmington, CT 06032-1956 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180509 | Provas of Provo | Radiology | 320 River Park Dr Ste 215, Provo, UT 84604-6065 | 2020-09-24 |
| 1558905398 | Wasatch Vascular Center LLC | Radiology | 3702 S State St Ste 103, Salt Lake City, UT 84115-5096 | 2019-11-05 |
| 1831662311 | Cache Valley Vein | Radiology | 565 W 465 N Ste 130, Providence, UT 84332-4802 | 2019-01-07 |
| 1568965697 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-03-15 |
| 1740608272 | Michael Max Adam | Radiology | 1055 N 500 W Ste 112, Provo, UT 84604-3305 | 2014-04-02 |
| 1356630073 | Claire Kaufman | Radiology | Medical Center 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2011-04-04 |
| 1982821690 | Edward John Sarver | Radiology | 5395 Old Post Rd, Ogden, UT 84403-4346 | 2007-04-20 |
| 1821154121 | Ryan Gene O'hara | Radiology | University of Utah Dept of Radiology, 30n. 1900e #1a071, Salt Lake City, UT 84132-6100 | 2006-12-29 |
| 1386731339 | Franklin J. Miller Jr. | Radiology | Dept Radiology University of Utah 50 N Medical Drive, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
| 1790736130 | St. George Radiology Inc. | Radiology | 1308 E 900 S, St George, UT 84790-8520 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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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.