Mrs. Marla D Carlisle, PA-C
Mrs. Marla D Carlisle, PA-C is a Physician Assistant in Fremont, Ohio. Qualified in 2009, 17 years ago. Practices with Promedica Multi Specialty Physicians, a 270-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.
- Years since qualifying
- 17
- Licensed in
- MI, OH
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
605 Third Ave Ste BFremont, OH 43420
Phone: (567) 201-2890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 50.003055 (OH) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 5601006448 (MI) |
Record details
| NPI number | 1316260839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 11, 2010 |
| Last updated in NPPES | October 7, 2016 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Promedica Multi Specialty Physicians — 270 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fremont
-
Vrunder Latina Cooks, RMA
1312 Carbon St, Fremont, OH 43420-1730 · (419) 559-4715
-
Jaime L Fox, PA-C
715 S Taft Ave, Fremont, OH 43420-3200 · (612) 940-3709