Mark D Carlisle (NPI# 1831313378, PAC ID# 3577625482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1831313378 |
PAC ID by PECOS | 3577625482 |
Professional Enrollment ID | I20081230000412 |
Full Name | Mark D Carlisle |
Organization Legal Name | EAST BAY ANESTHESIOLOGY MEDICAL GROUP, INC |
Address |
1700 San Pablo Ave Suite D Pinole CA 94564-2082 |
Phone Number | 5107249500 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | ANESTHESIOLOGY |
Group Practice PAC ID | 2365348950 |
Number of Group Practice Members | 37 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050043 | ALTA BATES SUMMIT MEDICAL CENTER |
050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
Address | Phone | Organization |
---|---|---|
2001 Dwight Way, Berkeley, CA 94704-2608 | 5102044444 | EAST BAY ANESTHESIOLOGY MEDICAL GROUP, INC |
2450 Ashby Ave, Berkeley, CA 94705-2067 | 5102044000 | EAST BAY ANESTHESIOLOGY MEDICAL GROUP, INC |
350 Hawthorne Ave, Oakland, CA 94609-3108 | 5106554000 | EAST BAY ANESTHESIOLOGY MEDICAL GROUP, INC |
1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 | 5107249500 | EAST BAY ANESTHESIOLOGY MEDICAL GROUP, INC |
Organization Legal Name | EAST BAY ANESTHESIOLOGY MEDICAL GROUP, INC |
Physicians | 39 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen Cooper | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Gerard D Dang | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
Perry P Lee | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Karin L Klika | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Johnny Chew | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
Eric Y Lin | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Timur J Karaca | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Darrell Ryan Tran | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
Catherine A Stapleton | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Joe Wong | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
Street Address |
1700 SAN PABLO AVE SUITE D |
City | PINOLE |
State | CA |
Zip | 94564-2082 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Ross | Otolaryngology | 1700 San Pablo Ave, Suite F, Pinole, CA 94564-2082 | |
Kenneth M Economy | Anesthesiology | Empire Anesthesia Inc | 1700 San Pablo Ave, Pinole, CA 94564-2081 |
Curtis A Chong | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 |
Matthew Garced | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 |
Clifford C Tom | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 |
Alexander Kao | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 |
Gregory Steven Garbin | Anesthesiology | Empire Anesthesia Inc | 1700 San Pablo Ave, Pinole, CA 94564-2081 |
Steven J Daniels | Certified Registered Nurse Anesthetist (crna) | Empire Anesthesia Inc | 1700 San Pablo Ave, Pinole, CA 94564-2081 |
Daniel Fazio | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 |
Jamie J Van Hoften | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 1700 San Pablo Ave, Suite D, Pinole, CA 94564-2082 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachael Spradley | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Jacqueline M Richter | Geriatric Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Faith Cheryle A Merino | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Van T Ong | Internal Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Elizabeth A Ortega | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Diana E Detwiler | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
David Alan Brandt | Internal Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Salaish K Sarin | Internal Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Alok Gupta | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Sabrina Arora-thissen | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
Find all physicians in zip 94564 |
City | PINOLE |
Zip Code | 94564 |
Specialty | ANESTHESIOLOGY |
City + Specialty | PINOLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Mark D Carlisle.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.