Provider Demographics
NPI:1033270509
Name:SANDO JONES AKER THE PLASTIC SURGERY GROUP, P.C.
Entity Type:Organization
Organization Name:SANDO JONES AKER THE PLASTIC SURGERY GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:CATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-848-5512
Mailing Address - Street 1:11450 N MERIDIAN STREET
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4530
Mailing Address - Country:US
Mailing Address - Phone:317-848-5512
Mailing Address - Fax:317-848-4470
Practice Address - Street 1:11450 N MERIDIAN ST
Practice Address - Street 2:SUITE 225
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4530
Practice Address - Country:US
Practice Address - Phone:317-848-5512
Practice Address - Fax:317-848-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50003401A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN274080Medicare PIN