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Deactivated NPI 1609830306 Deactivated / Inactive NPI Male Practitioner

Dr. Lisle Wayne , MD

Plastic Surgery • Evansville, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lisle Wayne has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2006
NPI Deactivation Date April 22, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Lisle Wayne, MD was a registered Plastic Surgery practicing in Evansville, IN. Throughout an active medical career spanning 13 years, Dr. Wayne provided care at the practice location at 3700 BELLEMEADE AVE until profile deactivation on 2019-04-22.

Practice Location & Contact Primary Location

Practice Address

3700 Bellemeade Ave
Ste 105

Evansville, IN 477140102

Telephone 8124778808
Fax 8124779669
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Evansville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 49.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Evansville, IN (84 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01027331A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. John Pulcini , MD

Plastic Surgery

NPI 1407818529

Doctor of Medicine (M.D.)

Dr. Guido Gutter , MD

Plastic Surgery

NPI 1982703740

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 22, 2019

Record deactivated on April 22, 2019

NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2012

Registered at 3700 BELLEMEADE AVE, STE 105, EVANSVILLE, IN 477140102 (Tel: 8124778808)

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Updated Business Mailing Address January 25, 2012

Registered at 3700 BELLEMEADE AVE, STE 105, EVANSVILLE, IN 477140102 (Tel: 8124778808)

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Provider Name / Credentials Updated January 25, 2012

Recorded as LISLE WAYNE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Plastic Surgery (License #01027331A in IN)

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Initial NPI Registration & Enumeration April 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609830306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2006
Last Update: January 25, 2012
Deactivation Date: April 22, 2019

Mailing Address

3700 Bellemeade Ave, Ste 105

Evansville, IN 477140102

Phone: 8124778808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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