Gudalia Alcantara Fajardo (NPI# 1083019012, PAC ID# 6709109713) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083019012 |
| PAC ID by PECOS | 6709109713 |
| Professional Enrollment ID | I20141224001070 |
| Full Name | Gudalia Alcantara Fajardo |
| Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
| Address |
2601 Electric Ave Port Huron MI 48060-6587 |
| Phone Number | 8102161500 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204733256 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230031 | LAKE HURON MEDICAL CENTER |
| 230216 | MCLAREN PORT HURON |
| 231311 | DECKERVILLE COMMUNITY HOSPITAL |
| 231314 | MCKENZIE HEALTH SYSTEM |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5245 Schaefer Rd, Suite D, Dearborn, MI 48126-3257 | 2488625311 | INFINITY VISITING PHYSICIAN SERVICES PLC |
| 3559 Pine St, Deckerville, MI 48427-7703 | ST CLAIR SPECIALTY PHYSICIANS PC | |
| 2601 Electric Ave, Port Huron, MI 48060-6587 | 8102161500 | ST CLAIR SPECIALTY PHYSICIANS PC |
| 2603 Electric Ave, Suite D, Port Huron, MI 48060-6588 | 8109875252 | ST CLAIR SPECIALTY PHYSICIANS PC |
| 2607 Electric Ave, Port Huron, MI 48060-6587 | 8109825483 | ST CLAIR SPECIALTY PHYSICIANS PC |
| 47 Dawson St, Sandusky, MI 48471-3324 | 8106489490 | ST CLAIR SPECIALTY PHYSICIANS PC |
| 23857 Greenfield Rd, Southfield, MI 48075-3122 | 2485696111 | ST CLAIR SPECIALTY PHYSICIANS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 60% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 80% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina El Kateb | Nephrology | St Clair Specialty Physicians PC | 16151 19 Mile Rd, Clinton Township, MI 48038-1158 |
| Heather L Henderson | Nephrology | St Clair Specialty Physicians PC | 18001 E 10 Mile Rd, Roseville, MI 48066-3803 |
| Christopher J Sjoberg | Nurse Practitioner | St Clair Specialty Physicians PC | 5610 W Gage, Suite A, Boise, ID 83706-1332 |
| Micheal J Adcox | Nephrology | St Clair Specialty Physicians PC | 515 E Lane, Ontario, OR 97914-3953 |
| Angela Ruth Harker Bacchus | Nurse Practitioner | St Clair Specialty Physicians PC | 23857 Greenfield Rd, Southfield, MI 48075-3122 |
| Abida Zafar | Nephrology | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
| Diana Scanlon | Nurse Practitioner | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
| Saurabh Gandhi | Internal Medicine | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
| Ameer Abdulrazzak | Nephrology | St Clair Specialty Physicians PC | 28300 Orchard Lake Rd, Suite 202, Farmington Hills, MI 48334-3704 |
| Navkiranjot Brar | Nephrology | St Clair Specialty Physicians PC | 18001 E 10 Mile Rd, Roseville, MI 48066-3803 |
| Street Address |
2601 ELECTRIC AVE |
| City | PORT HURON |
| State | MI |
| Zip | 48060-6587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarence C Rayos | Anesthesiology | Resource Anesthesiology Associates of Mi PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Kelly E Kerhoulas | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mi PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Melissa Shimshock | Nurse Practitioner | 4m Monroe Medical Services | 2601 Electric Ave, St Joseph Mercy Port Huron, Port Huron, MI 48060-6587 |
| Mohamed M El-fakharany | Pathology | Huron Pathology Associates Pllc | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Wasif M Hussain | Anesthesiology | 2601 Electric Ave, Port Huron, MI 48060-6587 | |
| Donald G Grenstiner | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mi PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Robin Frantantoni | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mi PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Allison J Murphy | Emergency Medicine | 4m Monroe Medical Services | 2601 Electric Ave, St Joseph Mercy Port Huron, Port Huron, MI 48060-6587 |
| Rubina Karim | Pathology | Huron Pathology Associates Pllc | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Lynette M Bear | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mi PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette M Mercatante | Family Medicine | 2215 Court, Port Huron, MI 48060 | |
| Fahim Kamal Ibrahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| George J Carley Jr. | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Reid S Stromberg | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Kamal Fahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| Mark G Kanitz | Emergency Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dana L Wolfe | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Jay S Guikema | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dena R Nader | Family Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Shanae D Bartlett | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Find all physicians in zip 48060 | |||
| City | PORT HURON |
| Zip Code | 48060 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT HURON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gudalia Alcantara 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.