DR. JOSE D FAJARDO (NPI# 1699809921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699809921 |
| Entity Type | Individual |
| Full Name | DR. JOSE D FAJARDO |
| Credential | DPM |
| Practice Address |
1620 W Highway 287 Business Waxahachie TX 75165-4706 |
| Practice Telephone | 9729381368 |
| Practice Fax Number | 9729381354 |
| Mailing Telephone | 9729381368 |
| Mailing Fax Number | 9729381354 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0863 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213EP0504X |
Podiatrist Specialization: Public Medicine |
0863 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0863 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
0863 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
0863 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0863 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0863 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 018835101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124423934 | Jose Fajardo | Dentist | 5720 Buford Hwy, Suite 101, Norcross, GA 30071-2577 | 2014-10-23 |
| Street Address |
1620 W HIGHWAY 287 BUSINESS |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942302633 | J D Fajardo Dpm PC | Podiatrist | 1620 W Highway 287 Business, Waxahachie, TX 75165-4706 | 2006-09-02 |
| 1902283203 | J D Fajardo Dpm PC | Podiatrist | 1620 W Highway 287 Business, Waxahachie, TX 75165-4706 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818941 | Interventional Partners LLC | Podiatrist | 3415 N Loy Lake Rd, Sherman, TX 75090-1744 | 2019-08-28 |
| 1467958538 | San Antonio Foot and Ankle Center, LLC | Podiatrist | 11212 State Highway 151 Ste 370, San Antonio, TX 78251-4504 | 2018-04-05 |
| 1972959161 | Darlene Dao Carter | Podiatrist | 5925 Forest Ln Ste 121, Dallas, TX 75230-6101 | 2016-05-06 |
| 1538552948 | Chetapon Nopachinda | Podiatrist | 1120 Medical Plaza Dr Ste 120, Shenandoah, TX 77380-5250 | 2015-03-09 |
| 1245647247 | Ravinder Reddy | Podiatrist | 3136 Horizon Rd Ste 120, Rockwall, TX 75032-7808 | 2014-07-22 |
| 1316258429 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2625 Matlock Rd, Suite 103, Arlington, TX 76015-2519 | 2010-06-24 |
| 1659682763 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5459 La Sierra Dr, Suite 101, Dallas, TX 75231-2347 | 2010-06-24 |
| 1811208994 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2010-06-23 |
| 1023330651 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 4333 N Josey Ln Ste 102, Carrollton, TX 75010-4620 | 2010-02-24 |
| 1588986145 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 7100 Oakmont Blvd Ste 208, Fort Worth, TX 76132-3911 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on DR. JOSE D FAJARDO.
| 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.