RUSSELL L. CARLISLE, D.O. (NPI# 1528459526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528459526 |
| Entity Type | Organization |
| Organization Name | RUSSELL L. CARLISLE, D.O. |
| Practice Address |
333 Willow Ridge Cv Brandon MS 39047-8089 |
| Practice Telephone | 6017575791 |
| Mailing Telephone | 6017575791 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | DR. RUSSELL CARLISLE (OWNER) |
| Authorized Official Telephone | 6017575791 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
15093 | MS | Ambulatory Health Care Facilities |
| Street Address |
333 WILLOW RIDGE CV |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-8089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346891751 | Careatc | Clinic/Center | 413 W Robertson St Ste A, Brandon, FL 33511-5014 | 2019-09-26 |
| 1407248792 | De Brigard Pediatrics, P.a | Clinic/Center | 711 N Parsons Ave, Brandon, FL 33510-3406 | 2015-02-24 |
| 1689007080 | Suncoast Community Health Centers, Inc | Clinic/Center | 125 N Moon Ave Ste A, Brandon, FL 33510-4431 | 2013-08-21 |
| 1447514716 | Anita Patel Md Pa | Clinic/Center | 3427 Brook Crossing Dr, Brandon, FL 33511-8181 | 2012-07-01 |
| 1558639625 | Family Medical Express Center, Inc. | Clinic/Center | 122 S Moon Ave, Brandon, FL 33511-5110 | 2011-12-05 |
| 1104943604 | Langford Family Health, Inc | Clinic/Center | 100 Vine Drive, Brandon, MS 39047-5962 | 2007-03-22 |
| 1811923311 | Karen Baldwin Md Pa | Clinic/Center | 320 Oakfield Dr, Suite E, Brandon, FL 33511-5723 | 2006-06-25 |
| 1417556275 | Suncoast Community Health Center Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-10-22 |
| 1578015152 | Careatc-city of Tampa Brandon | Clinic/Center | 413 W Robertson St, Suite A, Brandon, FL 33511-5014 | 2016-10-28 |
| 1053795815 | Diaz Medical Center, Inc. | Clinic/Center | 303 Bryan Rd, Suite 1, Brandon, FL 33511-5342 | 2015-07-11 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on RUSSELL L. CARLISLE, D.O..
| 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.