Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lars Optimus Logdberg, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417376369

Lars Optimus Logdberg, MD is an Emergency Medicine in Avon, Indiana. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2014, 12 years ago. Practices with Hendricks County Hospital, a 340-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
IN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone: (317) 217-3500
Fax: (317) 217-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 — (317) 272-7500
  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-7873

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 01079959A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417376369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2014
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Hendricks County Hospital — 340 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Avon