David Charles Carlisle (NPI# 1639231087, PAC ID# 7012901978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639231087 |
| PAC ID by PECOS | 7012901978 |
| Professional Enrollment ID | I20040413000905 |
| Full Name | David Charles Carlisle |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Address |
165 Scott Ave Morgantown WV 26508-8839 |
| Phone Number | 3045540400 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9335046754 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 165 Scott Ave, Morgantown, WV 26508-8839 | 3045540400 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| 204 Mary Higginson Ln, Uniontown, PA 15401-2657 | 7244388300 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 93% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 59% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Lynn Booth | Physician Assistant | Mountain State Medical Specialties, Pllc | 802 Wayne St, Suite 100, Marietta, OH 45750-3373 |
| Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Isha Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 76 16th St, Suite 100a, Wheeling, WV 26003-3660 |
| Jeffrey B Jackson | Dermatology | Mountain State Medical Specialties, Pllc | 100 Seneca Rd, Elkins, WV 26241-9709 |
| Dominick Ryan Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 1664 E Pike St, Clarksburg, WV 26301-6011 |
| Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Street Address |
165 SCOTT AVE |
| City | MORGANTOWN |
| State | WV |
| Zip | 26508-8839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Megan A Fluharty | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Amy Beth Norton | Dermatology | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Georgia D Daniel | Nurse Practitioner | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Paul Richard Ogershok | Allergy/immunology | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Holly S Lee | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Patrick Dorey Jr. | Chiropractic | 6000 Coombs Farm Dr, Building F Unit 102, Morgantown, WV 26508 | |
| Jason Alexander Chong | Psychologist, Clinical | Neuropsychology Group of West Virginia Pllc | 9000 Coombs Farm Dr, Suite 202, Morgantown, WV 26508 |
| Martin L Boone | Psychologist, Clinical | Neuropsychology Group of West Virginia Pllc | 9000 Coombs Farm Dr, Suite 202, Morgantown, WV 26508 |
| Paul K Calvert | Physical Therapy | Calvert Rehabilitation Group Inc | 2195 Cheat Rd, Morgantown, WV 26508-0022 |
| Kari L Calvert | Physical Therapy | Calvert Rehabilitation Group Inc | 2195 Cheat Rd, Morgantown, WV 26508-0022 |
| Susan Millham | Clinical Social Worker | 7000 Coombs Farm Rd, Suite 202, Morgantown, WV 26508-0803 | |
| William T Mcclellan | Plastic and Reconstructive Surgery | 5000 Coombs Farm Rd, Suite 102, Morgantown, WV 26508-1121 | |
| Jennifer Guriel Myers | Psychologist, Clinical | 4000 Coombs Farm Rd, Suite 102, Morgantown, WV 26508-1192 | |
| Jan E Palmer | Internal Medicine | Monongalia County General Hospital Company | 1300 Fort Pierpont Dr, Suite 101, Morgantown, WV 26508-1314 |
| Lauren R Ruehle | Nurse Practitioner | Monongalia County General Hospital Company | 1300 Fort Pierpont Dr, Suite 101, Morgantown, WV 26508-1314 |
| Find all physicians in zip 26508 | |||
| City | MORGANTOWN |
| Zip Code | 26508 |
| Specialty | DERMATOLOGY |
| City + Specialty | MORGANTOWN + DERMATOLOGY |
Please comment or provide details below to improve the information on David Charles Carlisle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.