Dylan Michael Carlisle (NPI# 1518426295, PAC ID# 8820325012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1518426295 |
| PAC ID by PECOS | 8820325012 |
| Professional Enrollment ID | I20190812000036 |
| Full Name | Dylan Michael Carlisle |
| Organization Legal Name | FOOT CLINIC OF SOUTH CAROLINA LLC |
| Address |
1073 Medical Ridge Rd Suite 2 Clinton SC 29325-4542 |
| Phone Number | 8649386984 |
| Gender | M |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7315961349 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420038 | GHS LAURENS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1073 Medical Ridge Rd, Suite 2, Clinton, SC 29325-4542 | 8649386984 | FOOT CLINIC OF SOUTH CAROLINA LLC |
| 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2170 | 8642819171 | FOOT CLINIC OF SOUTH CAROLINA LLC |
| Organization Legal Name | FOOT CLINIC OF SOUTH CAROLINA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Lindstrom | Podiatry | Foot Clinic of South Carolina LLC | 1073 Medical Ridge Rd, Suite 2, Clinton, SC 29325-4542 |
| Street Address |
1073 MEDICAL RIDGE RD SUITE 2 |
| City | CLINTON |
| State | SC |
| Zip | 29325-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George N Pattis | Podiatry | Upstate Podiatry Group Pa | 1073 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Bradley A Lindstrom | Podiatry | Foot Clinic of South Carolina LLC | 1073 Medical Ridge Rd, Suite 2, Clinton, SC 29325-4542 |
| Chad Sloan Bracey | Podiatry | Upstate Podiatry Group Pa | 1073 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Griz | Orthopedic Surgery | Palmetto Bone and Joint Pa | 22971 Hwy 76 E, Clinton, SC 29325 |
| Jerett Donald Tozzi | Emergency Medicine | Greenville Health System | 22725 Hwy 76 E, Clinton, SC 29325 |
| Ryan Von Williams | Chiropractic | 209 Musgrove St, Clinton, SC 29325-2347 | |
| Margaret Shreve | Chiropractic | Ryan Clinic LLC | 209 Musgrove St, Clinton, SC 29325-2347 |
| Bernadine Donaldson | Optometry | Macmillan Optical Inc | 118 Musgrove St, Clinton, SC 29325-2350 |
| Wendy Nix | Nurse Practitioner | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Neal Robert Goodbar | Emergency Medicine | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Gill P Thomas | Optometry | 204 E Carolina Ave, Clinton, SC 29325-2523 | |
| Mark D Herndon | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Bruce Marshall | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Find all physicians in zip 29325 | |||
| City | CLINTON |
| Zip Code | 29325 |
| Specialty | PODIATRY |
| City + Specialty | CLINTON + PODIATRY |
Please comment or provide details below to improve the information on Dylan Michael 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.