Elite Sports Medicine LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2060 Issued in NV

Legal business name

ELITE SPORTS MEDICINE LLC

Practice address

1875 Plumas St
Ste 6a
Reno, NV 89509-3387

Phone

(775) 786-5333

Fax

(775) 786-5336

NPI assigned

Feb 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tracey Giambrone, D.P.M.NPI 1861413445

Title

Owner

Phone

(775) 786-5333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey E Giambrone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reno, NV
  • NPI 1861413445
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1104095611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 PLUMAS ST",
            "address_2": "STE 6A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093321",
            "telephone_number": "775-786-5333",
            "fax_number": "775-786-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 PLUMAS ST",
            "address_2": "STE 6A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093387",
            "telephone_number": "775-786-5333",
            "fax_number": "775-786-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "GIAMBRONE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-786-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861413445",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elite Medaccess Inc
• Elite Mobile Radiology & Ekg Service, Inc (Elite Mobile X-Ray)
• Rotem Elitsur-Fitzpatrick, MD
• Elizabeth V Naylor PHD PLLC
• Sabrina Elizarrey
• Cathy Elizondo, PTA
• Jade Elkind, DPT

• Foot & Ankle Surgery Podiatrist in Reno, NV
• Providers in Reno, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.