DAVID EDWARD CARLISLE (NPI# 1740548783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740548783 |
| Entity Type | Individual |
| Full Name | DAVID EDWARD CARLISLE |
| Credential | CRNA |
| Practice Address |
1 Medical Park Dr Benton AR 72015-3353 |
| Practice Telephone | 5017766693 |
| Mailing Telephone | 5017766693 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CTP-00197 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776653 | David W Carlisle | Counselor | 5372 Lake Saponi Ter, Barboursville, VA 22923-1506 | 2017-08-18 |
| 1326157413 | David J Carlisle | Dentist | 2878 Campus Pkwy, Ste. 1, Riverside, CA 92507-0945 | 2006-08-30 |
| 1649275496 | David Lee Carlisle | Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2005-06-17 |
| 1760872956 | David Brice Carlisle | Counselor | 10039 Bissonnet St Ste 105, Houston, TX 77036-7838 | 2015-01-27 |
| 1639231087 | David Charles Carlisle | Dermatology | 165 Scott Ave, Suite 100, Morgantown, WV 26508-8847 | 2006-12-14 |
| 1619902566 | David M Carlisle | Internal Medicine | 200 Medical Plaza, #365, Los Angeles, CA 90095-3075 | 2006-07-11 |
| Street Address |
1 MEDICAL PARK DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808217 | Megan Wheat | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-10-09 |
| 1861019721 | Traci C Crump | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-06-26 |
| 1669091195 | Jessica Lee Roper | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2020-04-14 |
| 1134767627 | Penny Kaye Bettis | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-12-15 |
| 1598328163 | Rachel Catherine Huynh | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-04-18 |
| 1154889707 | Panfilo Estrada-flores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-03-03 |
| 1063976389 | Mackenzie Cole | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-01-31 |
| 1396224002 | Devin Annette Devlin | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2018-08-13 |
| 1679084404 | Lindsay Queen | Dietitian, Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-10-19 |
| 1073031878 | Jennifer Faughn Neighbors | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2017-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360525 | Emily Rhyne Summerlin | Nurse Anesthetist, Certified Registered | 349 Washington St, Benton, AL 36785-5425 | 2020-06-12 |
| 1154818292 | Lindy Sanders Page | Nurse Anesthetist, Certified Registered | 4406 Catskill Ave, Benton, AR 72019-4906 | 2018-04-14 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1679831614 | Bradley Allen Pitts | Nurse Anesthetist, Certified Registered | 1 Medical Park Dr, Benton, AR 72015-3353 | 2012-04-27 |
| 1619275401 | Marshall County Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 615 Old Symsonia Rd, Benton, KY 42025-5042 | 2011-03-03 |
| 1952530230 | Marshall County Anesthesia | Nurse Anesthetist, Certified Registered | 615 Old Symsonia Rd, Benton, KY 42025-5042 | 2009-07-08 |
| 1922190412 | Bruce S David | Nurse Anesthetist, Certified Registered | 615 Old Symsonia Rd, Benton, KY 42025-5042 | 2006-09-29 |
| 1689634586 | Carrie Leigh Mooty | Nurse Anesthetist, Certified Registered | 1 Medical Park Dr, Benton, AR 72015 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231623 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3711 Stillman Loop, Bryant, AR 72022-9074 | 2020-09-29 |
| 1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
| 1356961114 | Kayla Brooke Mazzanti | Nurse Anesthetist, Certified Registered | 1401 Scott St Apt 411, Little Rock, AR 72202-5083 | 2020-04-22 |
| 1396364030 | Caleb Casey Tolbert | Nurse Anesthetist, Certified Registered | 42 Bryson Dr, Ward, AR 72176-9639 | 2020-04-13 |
| 1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
| 1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
| 1275196065 | Amanda Sharrell Thomas | Nurse Anesthetist, Certified Registered | 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 | 2019-04-17 |
| 1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1922522523 | The Kendall Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 3490 E Fredricksburg Cir, Fayetteville, AR 72703-4821 | 2017-07-26 |
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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.