National Provider Identifier
Susan Carlisle, RPA-C
Susan Carlisle, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 266-0073.
Profile Overview
- NPI
- 1225042443
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 27, 2006
- Last Updated
- March 10, 2021
Practice Location
- 10 Brentwood Dr
- Suite B
- Ithaca, NY 14850-1865
Phone: (607) 266-0073
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- scarlisle44102@direct-guthrie.org
Direct Messaging Address | Direct | Ithaca, NY 14850
- scarlisle44102@direct-guthrie.org
Direct Messaging Address | Direct | Csv | Ithaca, NY 14850
Full Record
- NPI
- 1225042443
- Entity Type
- Individual
- Last Name
- Carlisle
- First Name
- Susan
- Name Prefix
- MS.
- Credential
- RPA-C
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Mailing Fax
- (607) 266-9310
- Practice Street Address
- 10 Brentwood Dr
- Practice Address Line 2
- Suite B
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1865
- Practice Country
- US
- Practice Phone
- (607) 266-0073
- Practice Fax
- (607) 266-9310
- Enumeration Date
- July 27, 2006
- Last Updated
- March 10, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 01611072 (NY)