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NPISignal

Individual Healthcare Provider

Zachary Carlisle, PA

NPI Record: ActivePhysician Assistant
NPI1023994035
Kettering, Ohio

Provider's NPPES record last updated: May 13, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1023994035
Primary Specialty
Physician Assistant
Practice Location
Kettering, Ohio
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:26 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Provider-Reported License Information

Physician Assistant (Ohio)
50.009631RX
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3535 Southern Blvd

Kettering, Ohio 45429-1221

Phone: (937) 395-8166

Additional Practice Location

1141 N Monroe Dr

Xenia, Ohio 45385-1619

Phone: (937) 352-2500

Additional Practice Location

3700 Southern Blvd Ste 401

Kettering, Ohio 45429-1265

Phone: (855) 500-2873

Fax: (937) 281-4391

Additional Practice Location

600 W Main St Ste 130

Troy, Ohio 45373-3384

Phone: (855) 500-2873

Fax: (937) 980-7057

Additional Practice Location

1010 Cereal Ave Ste 300

Hamilton, Ohio 45013-2784

Phone: (855) 500-2873

Fax: (937) 281-3913

Additional Practice Location

3535 Pentagon Blvd

Beavercreek, Ohio 45431-1705

Phone: (937) 702-4500

Additional Practice Location

405 W Grand Ave

Dayton, Ohio 45405-7538

Phone: (937) 723-3211

Additional Practice Location

100 Kettering Way

Franklin, Ohio 45005-1155

Phone: (937) 458-4700

Additional Practice Location

4000 Miamisburg Centerville Rd

Miamisburg, Ohio 45342-7615

Phone: (937) 384-8791

Additional Practice Location

8701 Old Troy Pike

Huber Heights, Ohio 45424-1066

Phone: (937) 558-3338

Additional Practice Location

3535 Pentagon Blvd Ste 400

Beavercreek, Ohio 45431-1705

Phone: (855) 500-2873

Fax: (937) 490-2266

Additional Practice Location

450 Washington Jackson Rd

Eaton, Ohio 45320-8699

Phone: (937) 456-8376

Additional Practice Location

1997 Miamisburg Centerville Rd

Centerville, Ohio 45459-3811

Phone: (937) 401-6228

Additional Practice Location

6147 State Route 122

Middletown, Ohio 45005-5201

Phone: (513) 261-3410

Additional Practice Location

2300 N Limestone St

Springfield, Ohio 45503-1102

Phone: (937) 504-8305

Additional Practice Location

600 W Main St

Troy, Ohio 45373-3384

Phone: (937) 980-7010

Record Information

Enumeration Date
August 14, 2025
Provider's NPPES Record Last Updated
May 13, 2026
Certification Date
May 13, 2026
NPISignal NPPES Dataset
August 2026

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