LUIS E PALACIO


Address: 4791 Summit Ridge Dr, Reno, NV 89523-7917
Phone: 7759825000

LUIS E PALACIO (NPI# 1659486330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659486330
Entity Type Individual
Full Name LUIS E PALACIO
Credential MD
Practice Address 4791 Summit Ridge Dr
Reno
NV 89523-7917
Mailing Address 850 Harvard Way
Reno
NV 89502-2055
Practice Telephone 7759825000
Practice Fax Number 7759823900
Mailing Telephone 7759825262
Mailing Fax Number 7759825496
Enumeration Date 2006-08-20
Last Update Date 2019-05-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
13303 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 11640462 01
NV 1659486330 05

Office Location

Street Address 4791 SUMMIT RIDGE DR
City RENO
State NV
Zip Code 89523-7917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720445455 Sepideh Arya-sande Physician Assistant 4791 Summit Ridge Dr, Reno, NV 89523-7917 2016-01-26
1417361965 Brandon J Hockenberry Family Medicine 4791 Summit Ridge Dr, Reno, NV 89523-7917 2014-06-12
1235392820 Crum Doggwiler and Stefanko Ltd A Professional Corporation Clinic/Center 4791 Summit Ridge Dr, Reno, NV 89523-7917 2008-07-03
1194997387 Crum and Stefanko, Ltd Emergency Medicine 4791 Summit Ridge Dr, Reno, NV 89523-7917 2008-03-27
1578760567 Crum Doggwiler and Stefanko Ltd Clinic/Center 4791 Summit Ridge Dr, Reno, NV 89523 2007-07-02
1548397003 Summit Ridge Medical Center Medical Genetics, Ph.D. Medical Genetics 4791 Summit Ridge Dr, Reno, NV 89523 2007-02-28
1174600662 Rex Weeks Physician Assistant 4791 Summit Ridge Dr, Reno, NV 89523-7917 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1003323510 Tate Health and Wellness, Pllc Nurse Practitioner 2005 Sierra Highlands Dr., Suite 101, Reno, NV 89523 2018-01-05
1952810194 Michael Anacker Occupational Therapist 5410 Simons Drive, Reno, NV 89523 2017-09-20
1033570981 Alison Butler Speech-Language Pathologist 7289 Heatherwood Dr., Reno, NV 89523 2016-03-18
1033586417 Phoenix Providers Preferred Provider Organization 3844 Joy Ln, Reno, NV 89523 2015-09-01
1841637006 Nicole Katherine Butler Audiologist 9770 S. Mccarren Blvd, Reno, NV 89523 2013-05-29
1477803922 Laura Soukup Speech-Language Pathologist 5820 Lindsay Drive, Reno, NV 89523 2012-09-12
1578812939 Jeanine Kay Johnson Community Health Worker 9195 Bay Meadows Dr., Reno, NV 89523 2012-08-31
1851626931 Steven Koning Optometrist 9700 South Mccarran Blvd., Reno, NV 89523 2009-10-07
1306083712 Medical Physics Services General Acute Care Hospital 2027 Thornbury Ct., Reno, NV 89523 2009-01-08
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275538233 Mark L Stovak Family Medicine 123 17th St., Ms 316, Reno, NV 89557 2005-06-16
1083717995 Reno Orthopaedic Clinic Inc Family Medicine 10085 Double R Blvd, Suite 300, Reno, NV 89521-5860 2006-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003130386 Victor Klausner, Do, PC Family Medicine 9005 S Pecos Rd, Ste 2610, Henderson, NV 89074-7190 2010-03-16
1689600785 Belinda Annette Murphy Denmark Family Medicine 855 Sixth St, Lovelock, NV 89419 2006-06-23
1215917042 David D Moon Family Medicine 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 2006-01-18
1720469083 Brett R Boyce Family Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2015-06-12
1134506793 Glenn Barnes Family Medicine 620 Shadow Lane, Las Vegas, NV 89106-4194 2015-05-04
1457763344 Matthew C. Hess Family Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 2014-05-27
1033476023 Evensen and Trippi Mens Health Pllc Family Medicine 9499 W Charleston Blvd, Suite 270, Las Vegas, NV 89117-7150 2012-04-16
1376833160 Wilson Gregory Knight II Family Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2011-04-13
1083867329 Michael Milligan PC Family Medicine 5546 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-7692 2008-10-30
1386896835 University of Nv School of Medicine Mutli Specialty Group Practice So Family Medicine 1391 S Jones Blvd, Las Vegas, NV 89146-1200 2008-10-15
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City RENO
Zip Code 89523

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Dataset Information

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.

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