Ernesto Cantu Jr., D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

032.0133827 Issued in VT

Practice address

3 Crest Rd
Saint Albans, VT 05478-9753

Phone

(802) 524-4554

NPI assigned

Jun 24, 2014

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Croix Regional Family Health CenterGroup PAC ID 3577524024, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Health & Counseling Services Hospice, Bangor, ME, CCN 201514
• Calais Community Hospital Hospital, Calais, ME, CCN 201305
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Down East Community Hospital Hospital, Machias, ME, CCN 201311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Croix Regional Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Princeton, ME
  • NPI 1831174614
  Medicare reassignment Care Compare group NPD
• The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
  • NPI 1407843543
  NPD (past)
• Brock Wellmore LLC

  dba Wellmore Point Assisted Living

  • Assisted Living Facility
  • Calais, ME
  • NPI 1447076716
  NPD (past)
• Davis Long Term Care Group Inc

  dba Wellmore Point

  • Assisted Living Facility
  • Calais, ME
  • NPI 1700584679
  NPD (past)
• St Croix Regional Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Calais, ME
  • NPI 1467573469
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Care Compare affiliation
• Community Health and Counseling Services

  • Community Based Hospice Care Agency
  • Bangor, ME
  • NPI 1508921842
  Care Compare affiliation
• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Care Compare affiliation
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1164837605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILDWOOD DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523816",
            "telephone_number": "859-420-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789753",
            "telephone_number": "802-524-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "ERNESTO",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "ED0456A",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IL",
            "license": "125.066294",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VT",
            "license": "032.0133827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Bushey
• Bridgett Cadieux
• Ronald Caldwell
• Calm Reflections Psychotherapy, LLC
• Jennifer Nicole Campbell, CCC-SLP
• Carepartners Adult Day Center, Inc.
• Carepartners Adult Day Center, Inc.
• Victoria Carey
• Hannah Ruth Cargill, COTA
• Deborah Jean Carlson

• General Practice Physician in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• General Practice Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.