CARLOS PALACIO (NPI# 1174553457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174553457 |
| Entity Type | Individual |
| Full Name | CARLOS PALACIO |
| Credential | MD |
| Practice Address |
1555 Long Pond Rd Intensive Care Rochester NY 14626-4122 |
| Practice Telephone | 5857237000 |
| Mailing Telephone | 5857237000 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
174493 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01266040 | 05 | |
| NE | 10025640700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679742993 | Carlos A Palacio | Internal Medicine | 38135 Market Sq Ste 107, Zephyrhills, FL 33542-7505 | 2008-02-21 |
| 1871785535 | Carlos Andres Palacio | Internal Medicine | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2007-08-15 |
| 1346286929 | Carlos A Palacio | Specialist | 330 Borthwick Ave, Suite 108, Portsmouth, NH 03801-4174 | 2006-06-21 |
| 1760458186 | Carlos Palacio | Internal Medicine | 655 W 8th St, Ufjp Internal Medicine, Jacksonville, FL 32209-6511 | 2006-02-25 |
| Street Address |
1555 LONG POND RD INTENSIVE CARE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474854 | Michelle Carpenter-bradley | Internal Medicine | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2005-06-01 |
| 1891394037 | Thomas Smith | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-20 |
| 1083211726 | Stergios Zissis | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-06 |
| 1194322123 | Yousif Rajab | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-02 |
| 1295342673 | Rachel Costain | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-29 |
| 1093321903 | Suman Biswas | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-17 |
| 1679187736 | Mary Carol Kretsch | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-04 |
| 1649883794 | Fahd Shaukat | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-28 |
| 1679185623 | Mohamed Eid | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-20 |
| 1619588076 | Megan M Stone | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730325812 | Ranime Saliba | Internal Medicine | 755 Jefferson Rd Ste 110, Rochester, NY 14623-3270 | 2008-12-19 |
| 1174798102 | Christina Ann Rager | Internal Medicine | 1561 Long Pond Rd Ste 408, Rochester, NY 14626-4135 | 2008-04-30 |
| 1285678201 | Paul Michael Passamonte | Internal Medicine | 1790 Long Pond Rd, Rochester, NY 14606-4032 | 2006-06-16 |
| 1598310161 | Vincent Evan Derienzo | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-08-09 |
| 1548786171 | Aimee Elizabeth Raponi | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642 | 2017-08-15 |
| 1801242060 | Abdelrahman Mohamedosman Ali Ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2016-05-06 |
| 1851775753 | Osama M Mukhtar | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-07-10 |
| 1760889182 | Xavier Fonseca Fuentes | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2014-12-01 |
| 1629490438 | Jose Bernardo Contreras Jr. | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-2510 | 2014-01-14 |
| 1104268614 | Crystal Breighner | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-25 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.