The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1639231087 |
NPI Entity Type | Individual |
Provider Name | DR. M.D. David Charles Carlisle |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 165 Scott Ave, Suite 100, Morgantown, WV, US |
Provider Mailing Address | 125 N 6th St, Clarksburg, WV, US, 263012665 |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | MOHS-Micrographic Surgery Physician |
Classification | |
Group | |
License No. | 20946 |
License State | WV |
Description | The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
MD436112 | PA | No | |||
MD436112 | PA | No | |||
20946 | WV | No | |||
90420 | OH | No | |||
90429 | OH | No | |||
90429 | OH | No | |||
20946 | WV | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
1810688000 | WV | MEDICAID | 05 |
4216662 | WV | MEDICARE ID - TYPE UNSPECIFIED | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Jennifer Knight Individual |
829 Fairmont Rd |
||
MR. Wayne Matthew Bachelor Individual |
1057 6th Ave |
||
Melissa Jones Individual |
200 Association Dr Ste 130 |
||
Gideon Mossor Individual |
200 Association Dr Ste 130 |
||
Tanisha Wilson Individual |
200 Association Dr Ste 130 |
||
Deloris Ann Hopkins Individual |
42 Parrish Ln |
||
Elizabeth Neal Individual |
1614 S Kanawha St |
||
Luke Petrice Individual |
710 Maple St |
||
Joshua Riley Individual |
200 Association Dr Ste 130 |
||
Karie Morrison Individual |
10 6th Ave W |
||
Katelyn Lucas Individual |
712 Mercer St Ste D |
||
Jenna Taylor Individual |
10 6th Ave W |
||
Tisean Jayree Walker Individual |
1650 Glenway Ln |
||
Montana Wallace Individual |
10 6th Ave W |
||
Natasha Sharon Sexton Individual |
400 Bluefield St Lot 16 |
||
Katheryn Joyce Bailey Individual |
1236 Madison Ave |
||
Alexis Perry Individual |
712 Mercer St Ste D |
||
Stevie Dawn Cline Individual |
695 Mountaineer Hwy |
||
Britney Brogan Individual |
267 Midway Rd |
||
Mary Mccullough Individual |
1599 2nd Ave |
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