DR. CANDACE CAMPOS KENTON (NPI# 1619934098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619934098 |
Entity Type | Individual |
Full Name | DR. CANDACE CAMPOS KENTON |
Other Name | DR. CANDACE VICTORIA CAMPOS |
Credential | M.D. |
Practice Address |
302 W Lynwood Ave San Antonio TX 78212-2592 |
Practice Telephone | 2103935106 |
Mailing Telephone | 2103935106 |
Enumeration Date | 2006-04-28 |
Last Update Date | 2020-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
K5476 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICAR NUMBER | 8G1792 | 01 |
Street Address |
302 W LYNWOOD AVE |
City | SAN ANTONIO |
State | TX |
Zip Code | 78212-2592 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
Find all providers in zip 78212 |
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 |
---|---|---|---|---|
1831156595 | Samuel L. Zuckerman | Pediatrics | 315 N San Saba Ste 1135, San Antonio, TX 78207-3255 | 2006-04-27 |
1386601888 | Najmul H. Salman | Pediatrics | 11019 Culebra Rd Ste 155, San Antonio, TX 78253-4519 | 2006-04-27 |
1104219781 | Pediatric Inpatient Critical Care Services Pa | Pediatrics | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2015-03-06 |
1487061321 | Niveditha Balakumar | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2014-07-11 |
1720408578 | Kirstin Henley | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2014-04-21 |
1871850487 | Magdelenis Gongora | Pediatrics | 4502 Medical Dr, San Antonio, TX 78229 | 2012-04-19 |
1255604104 | Utpal S Bhalala | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2012-02-22 |
1528395985 | Mohammed Salameh | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2009-11-05 |
1598921223 | Childrens Critical Care Specialists Pllc | Pediatrics | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2008-08-01 |
1588821797 | Thomas Jacob Lee Jr. | Pediatrics | Brooke Army Medical Center, 3551 Roger Brooke Dr, San Antonio, TX 78234 | 2008-05-16 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78212 |
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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.