Christopher P Carlisle, MD | |
8th Avenue And C Street, Lds Hospital Hospitalists, Salt Lake City, UT 84143-0001 | |
(801) 408-5482 | |
(801) 408-5481 |
Full Name | Christopher P Carlisle |
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Gender | Male |
Speciality | Hospitalist |
Location | 8th Avenue And C Street, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194718981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 29448 (Arizona) | Secondary |
207R00000X | Internal Medicine | 5997054-1205 (Utah) | Secondary |
208M00000X | Hospitalist | 5997054-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Christopher P Carlisle, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 408-5482 | Christopher P Carlisle, MD 8th Avenue And C Street, Lds Hospital Hospitalists, Salt Lake City, UT 84143-0001 Ph: (801) 408-5482 |
Jeffrey Von Miller, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8 Th Ave And C St, Intermountain Hospitalist Group, Salt Lake City, UT 84143 Phone: 801-408-5482 Fax: 801-408-5481 | |
Dr. Roxanne J Weiss, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ashley M. Brienza, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5701 | |
Dr. Erin L. Gosekamp, DO, MPH, MS Hospitalist Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-587-7572 | |
Rebecca Greaves Kim, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Craig R. Goodall, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Dr. Prathima Ramaprasad, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, South Salt Lake City, Salt Lake City, UT 84124 Phone: 801-809-0641 |