DR. KELLY MORGAN CARLISLE


Address: One Saint Mary Place, Shreveport, LA 71101-0000
Phone: 3186816812

DR. KELLY MORGAN CARLISLE (NPI# 1760461875) 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) 1760461875
Entity Type Individual
Full Name DR. KELLY MORGAN CARLISLE
Other Name KELLY JEAN MORGAN
Credential M.D.
Practice Address One Saint Mary Place
Shreveport
LA 71101-0000
Practice Telephone 3186816812
Practice Fax Number 3186817185
Mailing Telephone 3186816812
Mailing Fax Number 3186847185
Enumeration Date 2006-01-17
Last Update Date 2012-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD.14004R LA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 14004R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1183661 05

Other Providers KELLY CARLISLE

NPI Name Taxonomy Address Enumeration
1275097859 Kelly Ross Carlisle Dentist 535 E 500 S, Bountiful, UT 84010-3873 2019-01-28

Office Location

Street Address ONE SAINT MARY PLACE
City SHREVEPORT
State LA
Zip Code 71101-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285632745 Peyman Roohani Internal Medicine One Saint Mary Place, Shreveport, LA 71101-0000 2005-07-08
1215170527 Heith Edward Pumphrey Nurse Practitioner One Saint Mary Place, Shreveport, LA 71101-0000 2009-04-16
1700086063 Stephen Royce Maxwell Internal Medicine One Saint Mary Place, Shreveport, LA 71101-0000 2007-07-24
1225258809 Radiation Oncology St Mary Place LLC Radiology One Saint Mary Place, Cancer Treatment Center, Shreveport, LA 71101-4343 2007-04-26
1558469734 Keith Eliot Strain Pediatrics One Saint Mary Place, Shreveport, LA 71101-4343 2006-09-20
1710909163 Kevin Neal Boykin Surgery One Saint Mary Place, Shreveport, LA 71101-4343 2006-07-24
1689672032 Mark Frederick Brown Surgery One Saint Mary Place, Shreveport, LA 71101-4343 2005-07-11
1487652970 Thomas Steen Trawick Jr. Internal Medicine One Saint Mary Place, Shreveport, LA 71101-0000 2005-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
Find all providers in zip 71101

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790315026 Cody Tingle Md LLC Internal Medicine 535 Pierremont Rd, Shreveport, LA 71106-2207 2020-01-26
1538654306 Masri Group LLC Internal Medicine 3801 Creswell Ave Unit 19, Shreveport, LA 71106-1257 2018-06-25
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1760923064 Martin Marak Internal Medicine 847 Prospect St, Shreveport, LA 71104-3025 2017-03-20
1265883482 Vari LLC Internal Medicine 506 Rock Hollow Dr, Shreveport, LA 71115-2502 2016-06-29
1598140121 Mihir V Patel Md LLC Internal Medicine 9930 Loveland Ct, Shreveport, LA 71106-7795 2015-07-24
1619357209 Chad Michael Gibson Internal Medicine 8001 Youree Dr Ste 4007, Shreveport, LA 71115-2302 2015-06-09
1265829394 Amanda Lynn Callegan-poche' Internal Medicine 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 2015-04-15
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1477807980 Ronald Baylis George Internal Medicine 1821 Willow Point Drive, Shreveport, LA 71119 2012-11-06
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71101

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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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