Danny C Sardon, MD
Individual provider Active NPI Surgery Physician · Michigan City, IN
NPI 1376500736 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1376500736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 01032287C (IN)
- Practice address
- 1507 Wabash St
Suite 400B
Michigan City, IN 46360-4300 - Phone
- (219) 872-7555
- Fax
- (855) 774-1402
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032287C | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpartners Medical Group, LLC | Past | Accepting new patients | |
| Bikashagarwal Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01032287C | IN | Yes |
Addresses
Primary practice location
1507 Wabash St
Suite 400B
Michigan City, IN 46360-4300
Mailing address
1507 Wabash St
Suite 500 B
Michigan City, IN 46360-4300
Phone (219) 872-7555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000079474 | Other | IN | BCBS PIN NUMBER |
| 100163860A | Medicaid | IN | |
| 91115450 | Other | IL | BCBS IL PIN |
Other providers in Michigan City, IN
- Elias Salloum
- Anna R Salyer
- Justo Santos Samalio III
- Samaritan Counseling Centers, Inc
- Jeffrey Samelson
- Anshu Kumar Saxena
- Kristina Lauren Scalzitti
- Patricia Schmidt
- Thomas Schmittdiel
- Carol Lynn Schnadenberg
All providers in Michigan City, IN · Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.