NPI age
19 years
Enumerated 2006-10-23
● Active
Type 1 · Individual
John W Carlisle, MD
Carlisle is 1 of 1 dermatology providers in Lewiston and 1 of 102 in Idaho.
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 102 active dermatology providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
2315 8th St
Lewiston, ID 835017301
Mailing address
2315 8th St
Lewiston, ID 835017301
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8147845 | |
| 01 (WA) | 145739 | WA LABOR & INDUSTRIES |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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