CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER (NPI# 1134396450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134396450 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER |
| Practice Address |
4499 Medical Dr Suite 260 San Antonio TX 78229-3735 |
| Practice Telephone | 2106160800 |
| Practice Fax Number | 2106160012 |
| Mailing Telephone | 2106160800 |
| Mailing Fax Number | 2106160012 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MR. CRAIG D GENTRY (NETWORK ADMIN) |
| Authorized Official Telephone | 2106160800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
G6956 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TPI | 1126401-02 | 01 |
| TX | BC&BS | 80X050 | 01 |
| Street Address |
4499 MEDICAL DR SUITE 260 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001395 | Sheldon G. Gross | Psychiatry & Neurology | 4499 Medical Dr, Ste 396, San Antonio, TX 78229-3713 | 2005-05-31 |
| 1033718994 | Adam Mitchell Sahyouni | Nurse Practitioner | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2020-10-21 |
| 1679116974 | Katherine St. George | Counselor | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2019-10-21 |
| 1639723240 | Mary Cassandra Fuller | Nurse Practitioner | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2019-07-31 |
| 1528432135 | Steven Michael Rodriguez | Nurse Practitioner | 4499 Medical Dr, Suite 166, San Antonio, TX 78229-3771 | 2015-11-19 |
| 1912301748 | Amarie Chambers | Nurse Practitioner | 4499 Medical Dr, Suite 289, San Antonio, TX 78229-3735 | 2014-10-22 |
| 1922407253 | K & L Obgyn Inc | Obstetrics & Gynecology | 4499 Medical Dr, Suite 191, San Antonio, TX 78229-3735 | 2014-08-22 |
| 1144649153 | Olivia A Funes | Physician Assistant | 4499 Medical Dr, Suite 151a, San Antonio, TX 78229-3735 | 2014-04-08 |
| 1942630132 | Kimberly C Irwin, Md,pa | Specialist | 4499 Medical Dr, Suite 261, San Antonio, TX 78229-3735 | 2013-11-25 |
| 1801220850 | Terry Quinn Romo | Nurse Practitioner | 4499 Medical Dr, Suite 280, San Antonio, TX 78229-3735 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790706992 | Mahendra C. Patel Md Pa | Pediatrics | 7711 Louis Pasteur Dr Ste 502, San Antonio, TX 78229-3419 | 2006-07-22 |
| 1518301811 | Julie Voeller | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2013-04-17 |
| 1851634349 | Deanna Maida | Pediatrics | 4502 Medical Dr, San Antonio, TX 78229 | 2013-04-03 |
| 1932479573 | Reginald Ewesuedo | Pediatrics | 7800 Ih 10 W, Suite 612, San Antonio, TX 78230-4700 | 2012-01-11 |
| 1639305113 | Allison Caren Grimes | Pediatrics | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2009-06-10 |
| 1578719787 | Sheila Thampi | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207 | 2008-08-07 |
| 1699957845 | Aaron J Sugalski | Pediatrics | 333 N Santa Rosa St, 8th Floor, San Antonio, TX 78207-3108 | 2007-11-29 |
| 1972784239 | Maria G. Falcon-cantrill | Pediatrics | 4410 Medical Dr, Suite Number 540, San Antonio, TX 78229-6306 | 2007-11-15 |
| 1316133119 | Melissa Joy Frei-jones | Pediatrics | 333 N Santa Rosa, Rm B8208, San Antonio, TX 78207-3108 | 2007-09-14 |
| 1609920073 | Gregory John Aune | Pediatrics | 333 N Santa Rosa St, Ccbdc- 8th Floor, San Antonio, TX 78207-3108 | 2007-01-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER.
| 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.