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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M3009 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 178280701 | 05 | |
TX | BCBS | 0014NH | 01 |
Street Address |
5925 KIRBY DR E354 |
City | HOUSTON |
State | TX |
Zip Code | 77005-2546 |
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 |
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 Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
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) |
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 |
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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.