Andres Fajardo (NPI# 1447417829, PAC ID# 2961535067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1447417829 |
| PAC ID by PECOS | 2961535067 |
| Professional Enrollment ID | I20100726000737 |
| Full Name | Andres Fajardo |
| Organization Legal Name | UNIVERSITY VASCULAR SURGERY, PC |
| Address |
11700 N Meridian St Clarian North Medical Center Carmel IN 46032-4656 |
| Phone Number | 3179620280 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 7911969050 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150024 | ESKENAZI HEALTH |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 11700 N Meridian St, Clarian North Medical Center, Carmel, IN 46032-4656 | 3179620280 | UNIVERSITY VASCULAR SURGERY, PC |
| 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 | 3179620280 | UNIVERSITY VASCULAR SURGERY, PC |
| 720 Eskenazi Ave, Indianapolis, IN 46202-5166 | 3179620280 | UNIVERSITY VASCULAR SURGERY, PC |
| Organization Legal Name | UNIVERSITY VASCULAR SURGERY, PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Johnson | Nurse Practitioner | University Vascular Surgery, PC | 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 |
| Andrew Alexander Gonzalez | Vascular Surgery | University Vascular Surgery, PC | 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 |
| Gary W Lemmon | Vascular Surgery | University Vascular Surgery, PC | 11700 N Meridian St, Clarian North Medical Center, Carmel, IN 46032-4656 |
| Raghunandan L Motaganahalli | Vascular Surgery | University Vascular Surgery, PC | 11700 N Meridian St, Clarian North Medical Center, Carmel, IN 46032-4656 |
| Michael P Murphy | Vascular Surgery | University Vascular Surgery, PC | 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 |
| Alan Peter Sawchuk | Vascular Surgery | University Vascular Surgery, PC | 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 |
| Kelly Sue Davis | Nurse Practitioner | University Vascular Surgery, PC | 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 |
| Gregory George Westin | Vascular Surgery | University Vascular Surgery, PC | 1801 N Senate Blvd, Suite 3500, Indianapolis, IN 46202-1184 |
| Alok K Gupta | Vascular Surgery | University Vascular Surgery, PC | 11700 N Meridian St, Clarian North Medical Center, Carmel, IN 46032-4656 |
| Street Address |
11700 N MERIDIAN ST CLARIAN NORTH MEDICAL CENTER |
| City | CARMEL |
| State | IN |
| Zip | 46032-4656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Gripe | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Christian N Beaton | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Erin S Murphy | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Joseph B Hinton | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Vijayasree Paleru | Internal Medicine | Indiana University Health Inc | 11700 N Meridian St, Cardiovascular Diagnostic Services, Carmel, IN 46032-4656 |
| Michael Park | Internal Medicine | University Family Physicians, Inc. | 11700 N Meridian St, Indiana University Health North, Carmel, IN 46032-4656 |
| Sherman D Mcmurray | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Bruce W Robb | Colorectal Surgery (proctology) | University Surgeons Inc | 11700 N Meridian St, Iu Health Phys Gen Surg and Bariatrics N Hospital, Carmel, IN 46032-4656 |
| Eric A Henricks | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Christopher A Cole | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 11700 N Meridian St, Carmel, IN 46032-4656 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Turner | Physical Therapy | 15026 Greyhound Ct, Suite A, Carmel, IN 46032-1016 | |
| Mark Daniel Jones | Chiropractic | 13632 N Meridian, Carmel, IN 46032-1358 | |
| Richard D Zeph | Plastic and Reconstructive Surgery | 13590 -b N Meridian St, Suite 201, Carmel, IN 46032-1409 | |
| John S Pittman | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 |
| Patrick Y Park | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 |
| Sebastian C Peers | Hand Surgery | Reconstructive Hand To Shoulder of Indiana, LLC | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-1417 |
| Maureen Stark | Occupational Therapy | Reconstructive Hand To Shoulder of Indiana, LLC | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-1417 |
| Sheila O Roumpf | Pathology | Ameripath Indianapolis PC | 13500 N Meridian St Pathology Dept, Carmel, IN 46032-1456 |
| Gregory K Gahl | Family Medicine | American Health Network of Indiana LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Kimberly R Mauller | Family Medicine | American Health Network of Indiana LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Find all physicians in zip 46032 | |||
| City | CARMEL |
| Zip Code | 46032 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | CARMEL + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Andres Fajardo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.