David Edward Carlisle, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C002926 Issued in AR

Practice address

1 Medical Park Dr
Benton, AR 72015-3353

Phone

(501) 776-6693

NPI assigned

Apr 27, 2012

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, 44 clinicians

Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arkansas Surgical Hospital, LLC

  dba Arkansas Surgical Hospital Anesthesia Services

  • Anesthesiology Physician
  • North Little Rock, AR
  • NPI 1265192835
  Medicare reassignment Care Compare group NPD
• Orthoarkansas, PA

  • Specialist
  • Little Rock, AR
  • NPI 1952336869
  Medicare reassignment Care Compare group NPD
• Arkansas Anesthesia Associates, PLLC.

  • Anesthesiology Physician
  • Benton, AR
  • NPI 1497023360
  Medicare reassignment NPD
• BP Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1942736285

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Gastroenterology Associates PLLC

  • Gastroenterology Physician
  • Little Rock, AR
  • NPI 1538663729
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  dba Childrens University Medical Group

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1346230968
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment NPD
• Orthoarkansas, PA

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Little Rock, AR
  • NPI 1861459315
  NPD
• Premier Gastroenterology Associates PLLC

  dba Premier Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1073079596
  NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1023795051
  NPD
• University of Arkansas for Medical Sciences

  dba SW Community Clinic

  • Adolescent Medicine (Family Medicine) Physician
  • Little Rock, AR
  • NPI 1285307744
  NPD
• University of Arkansas for Medical Sciences

  • Podiatrist
  • Little Rock, AR
  • NPI 1851471312
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1740548783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10915 N Rodney Parham Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722124202",
            "country_code": "US",
            "telephone_number": "501-686-5737",
            "fax_number": "501-686-5742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CTP-00197",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Murphy Cantu
• Capes Dialysis LLC (Saline County Dialysis)
• Glenn Caradine, CMP
• Cardinal Nation Healthcare, LLC
• Care Physician House Calls
• Robert R Carlisle, DDS
• Chiquita Carlock, RECOVERY ASSISTANT
• Carlton Family Practice, LLC
• April Dawn Carlton
• Carmacare Inc

• Certified Registered Nurse Anesthetist in Benton, AR
• Providers in Benton, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.