DYLAN MICHAEL CARLISLE (NPI# 1518426295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518426295 |
| Entity Type | Individual |
| Full Name | DYLAN MICHAEL CARLISLE |
| Practice Address |
211 E Butler Rd Mauldin SC 29662-2169 |
| Practice Telephone | 8642819171 |
| Mailing Telephone | 5053285538 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001391 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
211 E BUTLER RD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850122 | Brad A. Lindstrom | Podiatrist | 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 | 2005-11-30 |
| 1427473966 | Foot Clinic of South Carolina, LLC | Podiatrist | 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | 2014-02-20 |
| 1861538969 | Foot Clinic of South Carolina, LLC | Podiatrist | 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679722912 | Jamelah Patrice Lemon | Podiatrist | 211 E Butler Rd Ste A2, Mauldin, SC 29662-2170 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
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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.