DR. CANDACE CAMPOS KENTON


Address: 302 W Lynwood Ave, San Antonio, TX 78212-2592
Phone: 2103935106

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
K5476 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICAR NUMBER 8G1792 01

Office Location

Street Address 302 W LYNWOOD AVE
City SAN ANTONIO
State TX
Zip Code 78212-2592

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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
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
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Competitor

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City SAN ANTONIO
Zip Code 78212

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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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