DR. LYSLE K AILSTOCK


Address: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758
Phone: 2527525000

DR. LYSLE K AILSTOCK (NPI# 1912989898) 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) 1912989898
Entity Type Individual
Full Name DR. LYSLE K AILSTOCK
Credential MD
Practice Address 2101 W Arlington Blvd Ste 210
Greenville
NC 27834-5758
Mailing Address Po Box 30750
Greenville
NC 27833-0750
Practice Telephone 2527525000
Practice Fax Number 2529317694
Mailing Telephone 2527525000
Mailing Fax Number 2529317694
Enumeration Date 2005-11-16
Last Update Date 2016-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085B0100X Radiology
Specialization: Body Imaging
9600437 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBSNC 10461 01
NC 8910461 05

Office Location

Street Address 2101 W ARLINGTON BLVD STE 210
City GREENVILLE
State NC
Zip Code 27834-5758

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821091752 Michael G Mclaughlin Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2005-05-24
1982242087 Catherine Rose Perry Physician Assistant 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2019-12-19
1679968911 Elizabeth Lanier Sydnor Jones Physician Assistant 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2015-04-03
1255774014 Andrew Johansen Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2013-04-11
1699091512 Jay Uk Lee Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 2010-04-16
1366684904 Bradley Morris Swinson Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2009-03-27
1063609931 Rebecca Woodard Staskelunas Physician Assistant 2101 W Arlington Blvd Ste 210, Eastern Radiologist, Inc., Greenville, NC 27834-5758 2007-09-25
1700088580 Ajit Fernandes Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2007-06-04
1629295597 Christopher Ryan Steinbaker Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2007-04-20
1124142625 Maureen Barry Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2007-03-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 2085B0100X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Body Imaging

Taxonomy Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619172400 Martin Joseph Ruocco Radiology 139 Applewood Dr, Greenville, SC 29615-2861 2007-06-20
1215990171 Eastern Radiologist, Inc Radiology 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 2006-04-10
1356755573 Samuel Douglas Volin Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2014-06-16
1700056256 Rajshri Nayakwadi Shah Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2008-03-11
1700088580 Ajit Fernandes Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2007-06-04
1760400915 Joseph J. Robinette Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2006-07-17
1407884695 Anthony Grant Thaxton Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2006-06-28
1295717767 Douglas J Shusterman Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2005-11-18
1508848037 Brian S Kuszyk Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2005-11-18
1487636916 Melissa B Duncan Radiology 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 2005-11-18
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 27834

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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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