Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John C Carlisle, MD

Individual provider Orthopaedic Surgery Physician · NPI 1992890339

Dr. John C Carlisle, MD is an Orthopedic Surgery in Leawood, Kansas. Graduated from Washington University School of Medicine in 2004, 22 years ago. Practices with Dickson Diveley Midwest Orthopaedic Clinic LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
22
Trained at
Washington University School of Medicine
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3651 College Blvd Ste 100A
Leawood, KS 66211-1910
Phone: (913) 319-7600
Fax: (913) 253-1702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 04-34445 (KS)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2010015929 (MO)

Record details

NPI number1992890339
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address3651 College Blvd Ste 100a, Leawood, KS 66211-1910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Dickson Diveley Midwest Orthopaedic Clinic Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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