Danny C Sardon MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DANNY C SARDON MD PC

Practice address

1501 Wabash St
#201
Michigan City, IN 46360-4357

Phone

(219) 872-7555

Fax

(219) 872-8671

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Danny Cruz Sardon, MD

Title

Pres

Phone

(219) 872-7555

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1427142249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WABASH ST",
            "address_2": "#201",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604357",
            "telephone_number": "219-872-7555",
            "fax_number": "219-872-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WABASH ST",
            "address_2": "#201",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604357",
            "telephone_number": "219-872-7555",
            "fax_number": "219-872-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY C SARDON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SARDON",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "219-872-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD IL",
            "identifier": "91108125",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily A Damitz, PA
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• Jennifer Madden Dauterman, M.A.
• Cory Scott Davis, HIS
• Sandra L Deausy, MD
• Thomas Adrian Dehorn, LMHC
• Ludovicus Dekeyser, MD

• Surgery Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.