DR. AARON SCOTT CARLISLE, M.D. - NPI NUMBER 1295713576

Summary

Provider Name: DR. AARON SCOTT CARLISLE, M.D.

NPI Number: 1295713576

Clasification: Family Medicine (207Q00000X)

Organization: COMMUNITY PHYSICIANS OF INDIANA INC

Address:
11501 CUMBERLAND ROAD
SUITE 500
FISHERS, IN
ZIP 46037

Phone Number: (317) 621-9393



Detailed Information

DR. Aaron Scott Carlisle, M.D. is a family physician in Fishers, IN with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1295713576 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 2001

The provider's business address is:

11501 CUMBERLAND ROAD
SUITE 500
FISHERS, IN
ZIP 46037-010
Phone: (317) 621-9393
Fax: (317) 621-9394

The enumeration date for this NPI number is 1/5/2006 and was last updated on 8/14/2014.





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Q00000X Family Medicine 01057378A IN Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 266180222 MEDICARE PIN IN
2 P01221086 OTHER IN RR MEDICARE PTAN
3 VAD000 MEDICARE UPIN
4 201115420 MEDICAID IN

NPI Record

No. Field Name Field Value
1 NPI 1295713576
2 Entity Type Code 1
3 Provider Last Name Legal Name CARLISLE
4 Provider First Name AARON
5 Provider Middle Name SCOTT
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 11501 CUMBERLAND ROAD
9 Provider Second Line Business Practice Location Address SUITE 500
10 Provider Business Practice Location Address City Name FISHERS
11 Provider Business Practice Location Address State Name IN
12 Provider Business Practice Location Address Postal Code 460377010
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 3176219393
15 Provider Business Practice Location Address Fax Number 3176219394
16 Provider Enumeration Date 1/5/2006
17 Last Update Date 8/14/2014
18 Provider Gender Code M
19 Healthcare Provider Taxonomy Code 1 207Q00000X
20 Provider License Number 1 01057378A
21 Provider License Number State Code 1 IN
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 266180222
24 Other Provider Identifier Type Code 1 08
25 Other Provider Identifier State 1 IN
26 Other Provider Identifier 2 P01221086
27 Other Provider Identifier Type Code 2 01
28 Other Provider Identifier State 2 IN
29 Other Provider Identifier Issuer 2 RR MEDICARE PTAN
30 Other Provider Identifier 3 VAD000
31 Other Provider Identifier Type Code 3 02
32 Other Provider Identifier 4 201115420
33 Other Provider Identifier Type Code 4 05
34 Other Provider Identifier State 4 IN
35 Is Sole Proprietor N

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.