CHILDRENS CRITICAL CARE OF SAN ANTONIO PA


Address: 5925 Kirby Dr, E354, Houston, TX 77005-2546
Phone: 2107858282

CHILDRENS CRITICAL CARE OF SAN ANTONIO PA (NPI# 1225106875) 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) 1225106875
Entity Type Organization
Organization Name CHILDRENS CRITICAL CARE OF SAN ANTONIO PA
Practice Address 5925 Kirby Dr
E354
Houston
TX 77005-2546
Practice Telephone 2107858282
Practice Fax Number 2107858288
Mailing Telephone 2107858282
Mailing Fax Number 2107858288
Enumeration Date 2006-12-01
Last Update Date 2009-10-16
Authorized Official Name DR. JOHN W MARCUM (PRESIDENT)
Authorized Official Telephone 2107858282
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
M3009 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 178280701 05
TX BCBS 0014NH 01

Office Location

Street Address 5925 KIRBY DR
E354
City HOUSTON
State TX
Zip Code 77005-2546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306158464 Advance Plus Therapy Services LLC Speech-Language Pathologist 5925 Kirby Dr, Ste. E766, Houston, TX 77005-3150 2010-07-06
1063604916 Maria Hammond Psychologist 5925 Kirby Dr, Suite E-193, Houston, TX 77005-3150 2007-08-14
1942427638 Jacquelyn A Lewi Social Worker 5925 Kirby Dr, Suite E, #376, Houston, TX 77005-3150 2007-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952884322 Jand. Inc. Eyewear Supplier (Equipment, not the service) 2518 University Blvd, Houston, TX 77005 2018-09-12
1669987939 Rebeca Matamoros Dietitian, Registered 6311 Buffalo Speedway, Houston, TX 77005 2017-12-08
1518494863 Cscb Rehabilitation Management Group, LLC Substance Abuse Rehabilitation Facility 1 Lile Court, Suite 103, Little Rock, AR 77005 2017-05-17
1194273490 Yashika Pande Dentist 6137 Kirby Dr., Houston, TX 77005 2016-09-14
1932653300 Ally Surgical First Assist.llc Registered Nurse 1747 Wroxton Ct Suite 1, Houston, TX 77005 2016-08-15
1477892966 Kelli Galle Nurse Practitioner 2455 Dunstan Rd Ste 360, Houston, TX 77005 2013-02-05
1831448778 Hsre-bridgewood Trs II, LLC Alzheimer Center (Dementia Center) 4141 N. Braeswood Blvd., Houston, TX 77005 2012-09-06
1013213313 Ramsey Rice Village Pllc Dentist 2402-c Rice Blvd, Houston, TX 77005 2011-02-03
1679873889 Advance Plus Therapy Services, LLC Speech-Language Pathologist 2429 Bissonnet Street, Suite E766, Houston, TX 77005 2010-10-22
1346492410 Deniece Christ-rice Social Worker 5311 Kirby Dr Ste 204, Houston, TX 77005 2008-10-21
Find all providers in zip 77005

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053730226 Jaime Conrado Silva Pediatrics 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 2014-04-15
1144574591 Amy Sharon Arrington Pediatrics 6621 Fannin, W6006, Houston, TX 77030 2012-11-07
1306118013 Corey Chartan Pediatrics One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 2012-01-27
1396971206 Kevin Matthew Roy Pediatrics 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 2009-06-05
1396911715 Aarti C Bavare Pediatrics 6621 Fannin, Wt6-006, Houston, TX 77030 2008-05-06
1841803756 Bethany Wright Moura Pediatrics 6410 Fannin St, Houston, TX 77030-3000 2020-08-29
1912569054 Sheila Carballo Sy Pediatrics 6431 Fannin Street, Msb 5.232, Houston, TX 77003 2019-06-28
1255894846 Tammy L Eckhardt Pediatrics 6701 Fannin St, Houston, TX 77030-2608 2019-04-10
1568953610 Morgan Rockwell Pediatrics 6621 Fannin St, Houston, TX 77030 2018-05-24
1437685500 Daniel Hassumani Pediatrics 6651 Main St, Houston, TX 77030-2351 2017-05-10
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77005

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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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