Mark D Carlisle
Medical Specialty
Professional ID
- NPI: 1831313378
- PECOS ID: 3577625482
- Enrollment ID: I20081230000412
- Credential(MD, DO, DPM):
- Medical School: University Of California San Francisco School Of Medicine
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 050305
- Business Name (LBN)1: Alta Bates Summit Medical Center - Alta Bates Camp
- Hospital CCN2: 050043
- Business Name (LBN)2: Alta Bates Summit Medical Center
Medical Practices
- Organization Name: East Bay Anesthesiology Medical Group, Inc
- Group Practice ID assigned by PECOS: 2365348950
- Number of Group Practice member: 39
Location
- Address1: 1700 San Pablo Ave
- Address2: Suite D
- City: Pinole
- State: California
- Zip Code: 94564
- Phone Number: (510)724-9500
Location
- Address1: 2001 Dwight Way
- Address2:
- City: Berkeley
- State: California
- Zip Code: 94704
- Phone Number: (510)204-4447
Location
- Address1: 2450 Ashby Ave
- Address2:
- City: Berkeley
- State: California
- Zip Code: 94705
- Phone Number: (510)204-4444
Location
- Address1: 350 Hawthorne Ave
- Address2:
- City: Oakland
- State: California
- Zip Code: 94609
- Phone Number: (510)655-4000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):