DR. CANDACE SUZANNE STAUBITZ PERCIVAL (NPI# 1063507101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063507101 |
| Entity Type | Individual |
| Full Name | DR. CANDACE SUZANNE STAUBITZ PERCIVAL |
| Credential | M.D. |
| Practice Address |
3851 Roger Brooke Dr Mche-qd (creds) Fort Sam Houston TX 78234-4501 |
| Mailing Address |
202 Grandview Pl San Antonio TX 78209-5817 |
| Practice Telephone | 2102163020 |
| Mailing Telephone | 3015121005 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
0101241708 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3851 ROGER BROOKE DR MCHE-QD (CREDS) |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903931 | Doreen M. Lounsbery | Internal Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2005-06-23 |
| 1821561853 | Jessica Dolan | Dietitian, Registered | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2019-01-02 |
| 1851842306 | Michael Stablein | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-10-19 |
| 1588114078 | Daniel Hamilton | Optometrist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-10-07 |
| 1932657756 | Erica Russell | Physical Therapist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-09-21 |
| 1437502887 | Glenn Wayne Brietzke Jr. | Dietitian, Registered | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-07-21 |
| 1023483013 | Christine Setty | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 | 2015-12-02 |
| 1487024642 | Deserae Gonzalez | Social Worker | 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 | 2015-09-30 |
| 1871969014 | Antoine Williams II | Registered Nurse | 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 | 2015-08-11 |
| 1033503990 | Eldon Snyder | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073912325 | Pediatric Endocrinology Clinic | Pediatrics | 4302 S Sugar Rd Ste 205, Edinburg, TX 78539-9140 | 2014-08-21 |
| 1215292875 | Amrita Anil Waingankar | Pediatrics | 7711 O Connor Dr Apt 2502, Round Rock, TX 78681 | 2012-07-10 |
| 1447554860 | Pediatric Endocrinology of Central Texas Pllc | Pediatrics | 1605a Redwood Road, San Marcos, TX 78666-1424 | 2010-12-28 |
| 1164757712 | Virginia Cortes Araiza | Pediatrics | 3701 W Alabama St Ste 350, Houston, TX 77027-5264 | 2009-10-14 |
| 1992952758 | Jose David Gamez | Pediatrics | 2821 Michaelangelo Dr Ste 102a, Edinburg, TX 78539-1411 | 2008-08-24 |
| 1639356108 | Farah Mehdi Khatoon | Pediatrics | 8611 N Mopac Expy, Austin, TX 78759-8319 | 2008-01-28 |
| 1730378456 | Vandana S Raman | Pediatrics | 6621 Fannin St # Cc102005, Suite 1020, Houston, TX 77030-2303 | 2007-10-18 |
| 1154544054 | Amy M. Burton | Pediatrics | 6124 W Parker Rd Ste 230, Plano, TX 75093-8124 | 2007-04-10 |
| 1295870459 | Southwestern Diabetic Physicians Association | Pediatrics | 10687 Fm 678, Whitesboro, TX 76273-4840 | 2007-02-21 |
| 1881776367 | Otto Velasquez Md Phd & Associates | Pediatrics | 5111 N 10th St # 281, Mcallen, TX 78504-2835 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.