| Smari Thordarson, MD | |
|
1007 Lincolnway, Laporte, IN 46350-2301 | |
| (219) 326-2305 | |
| (219) 326-2605 |
| Full Name | Smari Thordarson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 1007 Lincolnway, Laporte, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043235930 | NPI | - | NPPES |
| 3213335 | Other | MI | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01039747 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Goshen Hospital | Goshen, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Inc | 5890695464 | 35 |
| Entity Name | Northern Indiana Magnetic Resonance Center, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447252200 PECOS PAC ID: 6709780802 Enrollment ID: O20031120000842 |
| Entity Name | Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578557815 PECOS PAC ID: 5890695464 Enrollment ID: O20040515000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Smari Thordarson, MD 1007 Lincolnway, Laporte, IN 46350-2301 Ph: (219) 326-2305 | Smari Thordarson, MD 1007 Lincolnway, Laporte, IN 46350-2301 Ph: (219) 326-2305 |
Vivek Mishra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, Laporte, IN 46350 Phone: 219-326-2305 Fax: 219-326-2605 | |
Hester J W Muller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1007 Lincolnway, Laporte, IN 46350 Phone: 219-326-2305 Fax: 219-326-2605 |