DR. BRIAN JONATHAN CARLISLE (NPI# 1912139072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912139072 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JONATHAN CARLISLE |
| Credential | MD |
| Practice Address |
800 Mcconnell Rd Columbus OH 43214-3463 |
| Mailing Address |
5400 Frantz Rd Ste 250 Dublin OH 43016-6102 |
| Practice Telephone | 6145665377 |
| Practice Fax Number | 6145336200 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35096903 | OH | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35096903 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0077935 | 05 |
| Street Address |
800 MCCONNELL RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792248 | Michael David Patterson | Internal Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2005-06-30 |
| 1174018428 | Catherine Anne Dean-haidet | Clinical Nurse Specialist | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2018-06-28 |
| 1043705387 | Sara Jo Doran | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2018-06-28 |
| 1790203370 | Kaitlin Marie Mack | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2017-09-05 |
| 1568985661 | Eniko Bianca Ungureanu | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2017-07-20 |
| 1285173195 | Ohiohealth | General Acute Care Hospital | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2017-02-13 |
| 1225585763 | Karen E Lynch | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-09-01 |
| 1952856163 | Patricia L Tolbert | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-08-17 |
| 1700339421 | Shannon Storey | Nurse Practitioner | 800 Mcconnell Rd, Columbus, OH 43214 | 2016-07-29 |
| 1205299823 | Kavita Shah | Internal Medicine | 800 Mcconnell Rd, Columbus, OH 43214-3463 | 2016-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1295846673 | James Glenn Fitkin | Family Medicine | 4794 Dierker Rd, Columbus, OH 43220-2968 | 2006-08-31 |
| 1699706879 | American Health Network of Ohio, LLC | Family Medicine | 2500 Corporate Exchange Drive Suite 100, Columbus, OH 43231-7665 | 2006-07-05 |
| 1255369484 | Mark Alan Buddie | Family Medicine | 2500 Corporate Exchange Dr, Suite 100, Columbus, OH 43231-7665 | 2006-06-28 |
| 1366481822 | Vincent K Chu | Family Medicine | 2500 Corporate Exchange Dr Ste 100, Columbus, OH 43231-7601 | 2006-06-06 |
| 1942440276 | Amit R Bhojraj | Family Medicine | 3555 Olentangy River Rd Ste 1080, Columbus, OH 43214-3984 | 2009-02-26 |
| 1659540136 | Gerald Lane D.o. | Family Medicine | 1275 Olentangy River Rd, Suite 202, Columbus, OH 43212-3119 | 2008-02-28 |
| 1770766909 | Glenn E. Fussell | Family Medicine | 2827 Warm Springs Rd, Suite 3b, Columbus, GA 31904-5246 | 2007-12-11 |
| 1588711410 | Ralph Newman | Family Medicine | 1000 E Broad St, Columbus, OH 43205-1381 | 2007-01-04 |
| Find all providers in COLUMBUS | ||||
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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.