RUSSELL J. CARLISLE


Address: 500 17th Ave, Seattle, WA 98122-5711
Phone: 2063202111

RUSSELL J. CARLISLE (NPI# 1881778504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881778504
Entity Type Individual
Full Name RUSSELL J. CARLISLE
Credential MD
Practice Address 500 17th Ave
Seattle
WA 98122-5711
Mailing Address Po Box 84026
Seattle
WA 98124-8426
Practice Telephone 2063202111
Practice Fax Number 2063203396
Mailing Telephone 2063202111
Enumeration Date 2006-10-25
Last Update Date 2008-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine MD00031156 WA Allopathic & Osteopathic Physicians

Other Providers RUSSELL CARLISLE

NPI Name Taxonomy Address Enumeration
1578988218 Russell Carlisle Specialist/Technologist 602 N Acadia Rd, Thibodaux, LA 70301-4847 2014-03-04

Office Location

Street Address 500 17TH AVE
City SEATTLE
State WA
Zip Code 98122-5711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255331377 Dennis Chong Physical Medicine & Rehabilitation 500 17th Ave, Wound Healing Center, Seattle, WA 98122-5711 2005-07-29
1922613074 Caitlin Vosburgh Registered Nurse 500 17th Ave, Seattle, WA 98122-5711 2020-09-14
1942819404 Elias Mounir Elias Neurological Surgery 500 17th Ave, Seattle, WA 98122-5711 2020-07-29
1164057360 Christine Ann Schmer Registered Nurse 500 17th Ave, Seattle, WA 98122-5711 2020-03-08
1821623257 Kirsten Elizabeth Wickstrom Registered Nurse 500 17th Ave, Seattle, WA 98122-5711 2020-03-05
1508499039 Hodo Mohamud Registered Nurse 500 17th Ave, Seattle, WA 98122-5711 2020-02-12
1639709728 Marian J Dobles Pharmacist 500 17th Ave, Seattle, WA 98122-5711 2020-01-17
1659910008 Ayrron Sisley Pharmacist 500 17th Ave, Seattle, WA 98122-5711 2020-01-02
1639718687 Monica Ste Marie Pharmacist 500 17th Ave, Seattle, WA 98122-5711 2019-12-21
1124666268 Michael Kwik Pharmacist 500 17th Ave, Seattle, WA 98122-5711 2019-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938506 Quality Counseling and Consultation Service LLC Counselor 1525 Harvard Ave #509, Seattle, WA 98122 2020-07-01
1912535626 Cesar Andrade Student in an Organized Health Care Education/Training Program 550 16th Avenue #400, Seattle, WA 98122 2020-03-29
1366089666 Peter Nguyen Pharmacy Technician 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 2019-12-05
1356903140 Jason Dandino Specialist/Technologist 550 14th Avenue, Seattle, WA 98122 2019-07-02
1962066415 Seattle Colleges Local Education Agency (LEA) Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 2019-04-30
1538621412 Mitchell R Ornelas Student in an Organized Health Care Education/Training Program Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 2019-04-01
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1639646821 Maritza E Cajiao Doula 747 Broadway, Seattle, Seattle, WA 98122 2018-10-25
1336616762 Suzanna M Lovin Social Worker 401 Broadway, 1st Floor, Seattle, WA 98122 2018-10-24
1184137770 Walter Franklin Krengel Jr. Orthopaedic Surgery 2000 1st Ave Suite 2201, Seattle, WA 98122 2017-11-06
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518372416 John Raymond Avant Storey Emergency Medicine 3300 Meridian Ave N, Apt 204, Seattle, WA 98103-9150 2014-06-30
1346650017 Anna Condino Emergency Medicine Emergency Services Northwest, 1550 N 115th Street, A150, Seattle, WA 98133 2014-05-05
1497184725 Drx Wa Urgent Care Providers Pllc Emergency Medicine 3050 Ne 127th St, Seattle, WA 98125-4415 2013-11-07
1578996211 Drx Wa Urgent Care Providers Pllc Emergency Medicine 610 1st Ave N, Seattle, WA 98109-4001 2013-08-16
1770926602 Nicholas Granzella Emergency Medicine 201 16th Ave E # Chm, Seattle, WA 98112-5226 2013-04-10
1669815882 Brandy Cluka Emergency Medicine 325 9th Ave # 359702, Seattle, WA 98104-2420 2013-04-08
1285991711 Carolan Rachel Hass Emergency Medicine 4755 Fauntleroy Way Sw Unit 110, Seattle, WA 98116-4669 2012-04-22
1265798391 Sean Tan Nguyen Emergency Medicine 325 Ninth Ave., Ms# 359702, Seattle, WA 98104-2420 2012-04-03
1952698243 Travis Allen Omura Emergency Medicine 809a Nw 53rd St, Seattle, WA 98107-3644 2011-07-07
1629361761 Blaise Bellows Emergency Medicine 3235 37th Pl S, Seattle, WA 98144-7017 2011-05-23
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Competitor

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City SEATTLE
Zip Code 98122

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Dataset Information

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.

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